Active NPI
Kenneth Fuchtman
- Pharmacist
- Omaha, NE
National Provider Identifier
1598365249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8916
- Practice address
- 4969 S 174TH Ave
Omaha, NE 68135-3463 - Phone
- (402) 896-1097
- NPI assigned
- Oct 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8916 | NE | Primary |
Addresses
Primary practice location
4969 S 174TH Ave
Omaha, NE 68135-3463
Mailing address
4969 S 174TH Ave
Omaha, NE 68135-3463
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kjf187@cox.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8916 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1598365249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4969 S 174TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4969 S 174TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353463",
"telephone_number": "402-896-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUCHTMAN",
"first_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "8916",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kjf187@cox.net",
"affiliation": "N",
"endpointDescription": "e-mail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4969 S 174th Ave",
"city": "Omaha",
"state": "NE",
"country_code": "US",
"postal_code": "681353463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.