Active NPI
Amy Slattery
- Pharmacist
- Lincoln, NE
National Provider Identifier
1679108781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14628
- Practice address
- 5611 S 27TH St
Lincoln, NE 68512-1613 - Phone
- (402) 420-0318
- NPI assigned
- Mar 9, 2020
- Last updated
- Nov 25, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14628 | NE | Primary |
Addresses
Primary practice location
5611 S 27TH St
Lincoln, NE 68512-1613
Mailing address
5611 S 27TH St
Lincoln, NE 68512-1613
Phone (402) 420-0318
Other practice location 1
7002 O St
Lincoln, NE 68510-2425
Phone (402) 489-6399
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 |
|---|---|---|---|
| 14628 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska CVS Pharmacy LLC | Past | Accepting new patients | |
| Nebraska CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1679108781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5611 S 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121613",
"telephone_number": "402-420-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5611 S 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121613",
"telephone_number": "402-420-0318"
}
],
"practiceLocations": [
{
"address_1": "7002 O St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685102425",
"country_code": "US",
"telephone_number": "402-489-6399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLATTERY",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.