Active NPI
Freddy E Orellana, PHARMACIST
- Pharmacist
- Fremont, NE
National Provider Identifier
1669940227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16256
- Practice address
- 3010 E 23Rd St
Fremont, NE 68025-2479 - Phone
- (402) 727-8772
- Fax
- (402) 727-0700
- NPI assigned
- Nov 12, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 16256 | NE | Primary |
Addresses
Primary practice location
3010 E 23Rd St
Fremont, NE 68025-2479
Mailing address
1510 W 9TH St
Fremont, NE 68025-3818
Phone (402) 719-1519
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 |
|---|---|---|---|
| 16256 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1669940227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 W 9TH ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680253818",
"telephone_number": "402-719-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252479",
"telephone_number": "402-727-8772",
"fax_number": "402-727-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORELLANA",
"first_name": "FREDDY",
"middle_name": "E",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "16256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.