Active NPI
Craig Michael Driver, PHARMD
- Pharmacist
- Omaha, NE
National Provider Identifier
1851990345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16787
- Practice address
- 1606 S 72ND St
Omaha, NE 68124-1600 - Phone
- (402) 393-9571
- NPI assigned
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23857 | IA | |
| Pharmacist | 183500000X | 16787 | NE | Primary |
Addresses
Primary practice location
1606 S 72ND St
Omaha, NE 68124-1600
Mailing address
16216 Hartman Ave
Omaha, NE 68116-3753
Phone (308) 830-9061
Other practice location 1
16216 Hartman Ave
Omaha, NE 68116-3753
Phone (308) 830-9061
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 |
|---|---|---|---|
| 23857 | IA | MD | Pharmacist |
| 16787 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1851990345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16216 HARTMAN AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681163753",
"telephone_number": "308-830-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 S 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241600",
"telephone_number": "402-393-9571"
}
],
"practiceLocations": [
{
"address_1": "16216 Hartman Ave",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681163753",
"country_code": "US",
"telephone_number": "308-830-9061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRIVER",
"first_name": "CRAIG",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23857",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NE",
"license": "16787",
"primary": true
}
],
"identifiers": [],
"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 Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.