Midland Vet Services LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

2980 Issued in NE

Legal business name

MIDLAND VET SERVICES LLC

Practice address

11722 Stonegate Cir
Omaha, NE 68164-3692

Phone

(402) 330-9483

Fax

(866) 420-1589

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Megan Kenkel

Title

Pharmacist-in-Charge

Phone

(402) 650-0185

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Midland Vet Services Pharmacy Doing business as

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1609224146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11722 STONEGATE CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643692",
            "telephone_number": "402-330-9483",
            "fax_number": "866-420-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11722 STONEGATE CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643692",
            "telephone_number": "402-330-9483",
            "fax_number": "866-420-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND VET SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "KENKEL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "402-650-0185"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "2980",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midland Vet Services Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob C Middleton, MD
• Leondra Marie Middleton
• Samantha Middleton
• Stephanie Middleton, MASSAGE THERAPIST
• Midland Modesty Home Healthcare LLC
• Midlands Diabetes Education and Self Help Center
• Midlands Neurological & Headache Center and Jan J Golnick MD PC
• Midlands Services Link, Inc
• Midplains Podiatry
• Midtown Dental, LLC

• Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.