Active NPI
Senior RX Care of Nebraska, LLC
- Long Term Care Pharmacy
- Lincoln, NE
National Provider Identifier
1821683863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Senior RX Care of Nebraska LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Lincoln, NE
- NPI 1548843832
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.