Active NPI
Joel C Elmborg, PHARM D
- Pharmacist
- Bellevue, NE
National Provider Identifier
1689980807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13418
- Practice address
- 10504 S 15 Street
Bellevue, NE 68123 - Phone
- (402) 929-0463
- Fax
- (402) 592-2501
- NPI assigned
- Aug 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13418 | NE | Primary |
| Registered Respiratory Therapist | 227900000X | 1004 | NE |
Addresses
Primary practice location
10504 S 15 Street
Bellevue, NE 68123
Mailing address
10504 S 15 Street
Bellevue, NE 68123
Phone (402) 929-0463
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 |
|---|---|---|---|
| 1004 | NE | MD | Counselor |
| 13418 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1689980807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10504 S 15 STREET",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "68123",
"telephone_number": "402-929-0463",
"fax_number": "402-592-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10504 S 15 STREET",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "68123",
"telephone_number": "402-929-0463",
"fax_number": "402-592-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMBORG",
"first_name": "JOEL",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-25",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13418",
"primary": true
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "NE",
"license": "1004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.