Occuvax LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

OCCUVAX LLC

Practice address

13308 Chandler Rd
Omaha, NE 68138-3701

Phone

(402) 281-2702

Fax

(402) 999-8182

NPI assigned

Sep 20, 2006

Last updated

Aug 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Macfarlane

Title

Ceo

Phone

(402) 677-1507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, GA, SC, NC, WV, VA, WY, WA, OR, ID, HI, AZ, MT, AK, CA, UT, NV, VT, NY, CT, NH, ME22 enrollments

Enrollment records 22

Locations (25 of 56)

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.

• Derrick K Blanton, PYSD

  • Clinical Psychologist
  • Frisco, TX
  • NPI 1194830133
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1699872416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13308 CHANDLER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681383701",
            "telephone_number": "402-281-2702",
            "fax_number": "402-999-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13308 CHANDLER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681383701",
            "telephone_number": "402-281-2702",
            "fax_number": "402-999-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUVAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "MACFARLANE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-677-1507"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afiwa Tebafa Obympe
• Atsou Yao Obympe
• Occupational Health Centers of Nebraska, P.C. (Concentra Medical Center)
• Occupational Health Centers of Nebraska, P.C. (Concentra Medical Center)
• Occupational Health Centers of Nebraska, P.C. (Concentra Medical Center)
• Oceans Enterprise, LLC (Oceans Drive Transportation)
• Vanessa D Ocegueda, PLADC
• Nancy Oceguera
• Carmen Ochoa Farho, MD
• Alondra Ochoa Montes

• Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.