McKinzee A Abbott, C.PH.T

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

480 Issued in NE

Practice address

13660 California St.
Omaha, NE 68154

Phone

(800) 546-5677

Fax

(866) 632-7946

NPI assigned

Apr 10, 2012

Reactivated

Oct 20, 2014

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2014.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1710243191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680100407",
            "telephone_number": "800-546-5677",
            "fax_number": "866-632-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 CALIFORNIA ST.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68154",
            "telephone_number": "800-546-5677",
            "fax_number": "866-632-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "MCKINZEE",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "C.PH.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2014-10-20",
        "deactivation_date": "2014-08-15",
        "reactivation_date": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NE",
            "license": "480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER",
            "identifier": "4901-0701-0031-564",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "480",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abele Marie Antoinette Abbey
• Carolyn M Abbot, DPT
• Anna Abbott
• Carter Owen Abbott, M.D.
• Justin Leroy Abbott, CRNA
• Michaela Rose Abbott, APRN
• Shanon J Abbott
• Theresa Ann Abbott, PA-C
• Karen Marie Abboud, PTA
• Zeinab Abbu

• All providers in Omaha, NE
• Pharmacy Technician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.