NPIMap

Individual provider Active NPI

Cecilia Marie Rudloff, PHARMD

  • Pharmacist
  • Omaha, NE
National Provider Identifier
1760992275
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11366 Issued in NE
Practice address
4400 Emile St Durham Outpatient Center Level Two
Omaha, NE 68198-3301
Phone
(402) 559-5215
Fax
(402) 559-7150
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 20959 IA
Ambulatory Care Pharmacist 1835P2201X 11366 NE
Pharmacist 183500000X 11366 NE Primary
Pharmacist 183500000X 20959 IA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 11366 NE
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 20959 IA

Addresses

Primary practice location

4400 Emile St Durham Outpatient Center Level Two
Omaha, NE 68198-3301

Mailing address

4400 Emile St
Omaha, NE 68198-0600
Phone (402) 390-0650

Other practice location 1

4014 Leavenworth Street
Omaha, NE 68105
Phone (402) 552-7999

Other practice location 2

2510 Bellevue Medical Center Dr Ste 100
Bellevue, NE 68123-1520
Phone (402) 595-1156

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

LicenseStateTypeSpecialty
20959IAMDPharmacist
11366NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1760992275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 EMILE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681980600",
            "telephone_number": "402-390-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 EMILE ST DURHAM OUTPATIENT CENTER LEVEL TWO",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681983301",
            "telephone_number": "402-559-5215",
            "fax_number": "402-559-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4014 Leavenworth Street",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68105",
            "country_code": "US",
            "telephone_number": "402-552-7999",
            "fax_number": "402-552-7792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Bellevue Medical Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "681231520",
            "country_code": "US",
            "telephone_number": "402-595-1156",
            "fax_number": "402-595-1029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDLOFF",
        "first_name": "CECILIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IA",
            "license": "20959",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NE",
            "license": "11366",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "11366",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20959",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NE",
            "license": "11366",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IA",
            "license": "20959",
            "primary": false
        }
    ],
    "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 Apr 13, 2018; 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.