Active NPI
Neighborhood LTC Pharmacy Inc.
- Long Term Care Pharmacy
- Lincoln, NE
National Provider Identifier
1841600566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 3019
- Legal business name
- NEIGHBORHOOD LTC PHARMACY INC.
- Practice address
- 1265 S Cotner Blvd Ste 30
Lincoln, NE 68510-4924 - Phone
- (402) 488-1184
- Fax
- (402) 488-1187
- NPI assigned
- May 2, 2014
- 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
- Scott Louderback
- Title
- President
- Phone
- (402) 488-1184
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | 3019 | NE | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1265 S Cotner Blvd Ste 30
Lincoln, NE 68510-4924
Mailing address
1265 S Cotner Blvd Ste 30
Lincoln, NE 68510-4924
Phone (402) 488-1184
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2145525 | Other | PK | |
| 10026398200 | Medicaid | NE |
Other names 1
- Neighborhood LTC Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141107000591 | NE | DME Supplier - Pharmacy | 8628290673 | Practice locations: Lincoln, NE |
| O20150526002303 | NE | Part B Supplier - Mass Immunization (Roster Biller Only) | 8628290673 | Practice locations: Lincoln, NE |
Other NPIs with the same Medicare PAC ID 7
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
5625 O St
Ste 101
Lincoln, NE 68510
Phone (402) 488-1184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1841600566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 S COTNER BLVD STE 30",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104924",
"telephone_number": "402-488-1184",
"fax_number": "402-488-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 S COTNER BLVD STE 30",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104924",
"telephone_number": "402-488-1184",
"fax_number": "402-488-1187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORHOOD LTC PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-02",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "LOUDERBACK",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-488-1184"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NE",
"license": "3019",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2145525",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026398200",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Neighborhood LTC Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Neighborhood LTC 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 Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.