Active NPI
Joshua Philip Havens, PHARM.D.
- Health Service Clinic/Center
- Omaha, NE
National Provider Identifier
1649455643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 12703
- Practice address
- 804 S. 52ND
Omaha, NE 68106 - Phone
- (402) 559-2674
- Fax
- (402) 553-5963
- NPI assigned
- Jan 8, 2008
- 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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 12703 | NE | Primary |
Addresses
Primary practice location
804 S. 52ND
Omaha, NE 68106
Mailing address
804 S. 52ND
Omaha, NE 68106
Phone (402) 559-2674
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12703 | NE | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1649455643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 S. 52ND",
"city": "OMAHA",
"state": "NE",
"postal_code": "68106",
"telephone_number": "402-559-2674",
"fax_number": "402-553-5963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 S. 52ND",
"city": "OMAHA",
"state": "NE",
"postal_code": "68106",
"telephone_number": "402-559-2674",
"fax_number": "402-553-5963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVENS",
"first_name": "JOSHUA",
"middle_name": "PHILIP",
"name_prefix": "Mr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NE",
"license": "12703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.