Guardian Pharmacy of Omaha, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GUARDIAN PHARMACY OF OMAHA, LLC

Practice address

11171 Mill Valley Rd
Omaha, NE 68154-3933

Phone

(402) 694-9114

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Cody Lobeda

Title

President/Owner

Phone

(402) 694-9114

Specialties & licenses 2

Addresses

Other names 1

• Guardian Pharmacy of Omaha, LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1710754635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11171 MILL VALLEY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543933",
            "telephone_number": "402-694-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11171 MILL VALLEY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543933",
            "telephone_number": "402-694-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF OMAHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "LOBEDA",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "402-694-9114"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://guardianpharmacy.com/",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "11171 Mill Valley Rd",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681543933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of Omaha, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesus Guajardo
• Catherine Guardado
• Erin Guardi, OTD
• Guardian Anesthesai Services
• Guardian Counseling Services, LLC
• Hilda Guardiola-Medrano
• Christine Louise Guardiola
• Natalie Ann Guardiola, LCSW, LIMHP, LADC
• Jonathan Matthew Gubbrud, MD
• Thomas P. Guck, PH.D.

• Long Term Care Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Long Term Care Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.