NPIMap

Organization Active NPI

Alegent Health Memorial Hospital

Doing business as Alegent Health Memorial Hospital - Clarkson Pharmacy

  • Community/Retail Pharmacy
  • Clarkson, NE
National Provider Identifier
1598846248
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1002383 Issued in NE
Legal business name
ALEGENT HEALTH MEMORIAL HOSPITAL
Doing business as
Alegent Health Memorial Hospital - Clarkson Pharmacy
Practice address
329 Pine St
Clarkson, NE 68629-4094
Phone
(402) 892-3466
Fax
(402) 892-3113
NPI assigned
Oct 18, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Evert Kuiper
Title
Ceo - CHI Health
Phone
(402) 343-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1002383 NE Primary

Addresses

Primary practice location

329 Pine St
Clarkson, NE 68629-4094

Mailing address

329 Pine St
PO Box 20
Clarkson, NE 68629-4094
Phone (402) 892-3466

Other identifiers 1

IdentifierTypeStateIssuer
2813245OtherNCPDP

Other names 1

  • Alegent Health Memorial Hospital - Clarkson Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Schuyler Medical Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1598846248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 PINE ST",
            "address_2": "PO BOX 20",
            "city": "CLARKSON",
            "state": "NE",
            "postal_code": "686294094",
            "telephone_number": "402-892-3466",
            "fax_number": "402-892-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 PINE ST",
            "city": "CLARKSON",
            "state": "NE",
            "postal_code": "686294094",
            "telephone_number": "402-892-3466",
            "fax_number": "402-892-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGENT HEALTH MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "KUIPER",
        "authorized_official_first_name": "EVERT",
        "authorized_official_title_or_position": "CEO - CHI HEALTH",
        "authorized_official_telephone_number": "402-343-4420"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "1002383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2813245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alegent Health Memorial Hospital - Clarkson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alegent Health Memorial Hospital - Clarkson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkson, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.