NPIMap

Organization Active NPI

Alivation Pharmacy LLC

  • Pharmacy
  • Lincoln, NE
National Provider Identifier
1609310192
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
684 Issued in NE
Legal business name
ALIVATION PHARMACY LLC
Doing business as
Alivation Pharmacy, LLC
Practice address
8550 Cuthills Cir
Lincoln, NE 68526-9474
Phone
(402) 476-5686
Fax
(402) 484-0524
NPI assigned
Dec 19, 2016
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Walter Duffy
Title
Owner
Phone
(402) 476-5686

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 684 NE Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

8550 Cuthills Cir
Lincoln, NE 68526-9474

Mailing address

8550 Cuthills Cir
Lincoln, NE 68526-9474
Phone (402) 476-5686

Other identifiers 1

IdentifierTypeStateIssuer
2166776OtherPK

Other names 1

  • Alivation Pharmacy, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

8550 Cuthills Cir
Lincoln, NE 68526
Phone (402) 476-5686

Practitioners & affiliated clinicians

Practitioners 1

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": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1609310192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 CUTHILLS CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269474",
            "telephone_number": "402-476-5686",
            "fax_number": "402-484-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 CUTHILLS CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269474",
            "telephone_number": "402-476-5686",
            "fax_number": "402-484-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVATION PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-476-5686"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "684",
            "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": "2166776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alivation Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.