NPIMap

Organization Active NPI

Medication Therapy Management

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Omaha, NE
National Provider Identifier
1700322393
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
9752 Issued in NE
Legal business name
MEDICATION THERAPY MANAGEMENT
Practice address
2631 N 157TH St
Omaha, NE 68116-2029
Phone
(402) 651-6724
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Dr. Kenneth Saunders, PHARMD.NPI 1538156757
Title
Tobacco Cessation Counselor
Phone
(402) 651-6724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P0018X 9752 NE Primary

Addresses

Primary practice location

2631 N 157TH St
Omaha, NE 68116-2029

Mailing address

2631 N 157TH St
Omaha, NE 68116-2029
Phone (402) 651-6724

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1700322393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 N 157TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162029",
            "telephone_number": "402-651-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 N 157TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162029",
            "telephone_number": "402-651-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICATION THERAPY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "TOBACCO CESSATION COUNSELOR",
        "authorized_official_telephone_number": "402-651-6724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NE",
            "license": "9752",
            "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 Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.