Active NPI
Jason Paul Enders, PHARMD
- Pharmacist
- Omaha, NE
National Provider Identifier
1831260074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12108
- Practice address
- 2701 S 10TH St
Omaha, NE 68108-1610 - Phone
- (402) 342-1731
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12108 | NE | Primary |
Addresses
Primary practice location
2701 S 10TH St
Omaha, NE 68108-1610
Mailing address
210 Bancroft PLZ
Omaha, NE 68108-1737
Phone (402) 346-8030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47060386000 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12108 | NE | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enders Pharmacy Solutions | Current | Accepting new patients | |
| Enders Pharmacy Solutions | Current | Accepting new patients |
Locations
2701 S 10th St
Omaha, NE 68108
Phone (402) 342-1731
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1821621806
-
- Long Term Care Pharmacy
- Omaha, NE
- NPI 1952066508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831260074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 BANCROFT PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681081737",
"telephone_number": "402-346-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 S 10TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681081610",
"telephone_number": "402-342-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDERS",
"first_name": "JASON",
"middle_name": "PAUL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47060386000",
"state": "NE"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.