NPIMap

Organization Active NPI

State of Nebraska Dept of Admin Services

Doing business as Lincoln Regional Center Pharmacy

  • Institutional Pharmacy
  • Lincoln, NE
National Provider Identifier
1821009069
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
2517 Issued in NE
Legal business name
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Doing business as
Lincoln Regional Center Pharmacy
Practice address
801 W Prospector PL
Lincoln, NE 68522-1970
Phone
(402) 479-5343
Fax
(402) 479-5438
NPI assigned
Aug 11, 2006
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Lacey Deterding, PHARMD
Title
Pharmacy Director
Phone
(402) 479-5343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 2517 NE Primary

Addresses

Primary practice location

801 W Prospector PL
Lincoln, NE 68522-1970

Mailing address

801 W Prospector PL
Lincoln, NE 68522-1970
Phone (402) 479-5343

Other identifiers 1

IdentifierTypeStateIssuer
2054523OtherPK

Other names 1

  • LINCOLN REGIONAL CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nebraska Health Systems27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

801 W Prospector Pl
Lincoln, NE 68522
Phone (402) 479-5207

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1821009069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W PROSPECTOR PL",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221970",
            "telephone_number": "402-479-5343",
            "fax_number": "402-479-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W PROSPECTOR PL",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221970",
            "telephone_number": "402-479-5343",
            "fax_number": "402-479-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEBRASKA DEPT OF ADMIN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "DETERDING",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "402-479-5343",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NE",
            "license": "2517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN REGIONAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.