Organization Active NPI

Senior RX Care of Nebraska, LLC

  • Long Term Care Pharmacy
  • Lincoln, NE
National Provider Identifier
1821683863
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SENIOR RX CARE OF NEBRASKA, LLC
Practice address
5501 Alvo Rd
Lincoln, NE 68514-3206
Phone
(888) 486-4404
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Matthew Hayden
Title
Executive Director
Phone
(888) 486-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

5501 Alvo Rd
Lincoln, NE 68514-3206

Mailing address

5501 Alvo Rd
Lincoln, NE 68514-3206
Phone (888) 486-4404

Other names 1

  • Senior Rx Care of Nebraska Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221121000175 NE DME Supplier - Pharmacy 9335517564 Practice locations: Lincoln, NE
O20230620002968 NE Part B Supplier - Pharmacy 9335517564 Practice locations: Lincoln, NE

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Senior RX Care of Nebraska LLC5501 Alvo Rd, Lincoln, NE 68514-3206(888) 486-4404 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 14, 2023

National Provider Directory

National Provider Directory

Locations

5501 Alvo Rd
Lincoln, NE 68514
Phone (833) 486-4404

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": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1821683863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 ALVO RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685143206",
            "telephone_number": "888-486-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 ALVO RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685143206",
            "telephone_number": "888-486-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR RX CARE OF NEBRASKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-486-4404"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Rx Care of Nebraska",
            "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 Mar 2, 2021; 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.