Active NPI
Jennifer Ann Tilleman, PHARM.D.
- Pharmacotherapy Pharmacist
- Omaha, NE
National Provider Identifier
1871782938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 11784
- Practice address
- 6115 N 78TH Ave
Omaha, NE 68134-2129 - Phone
- (402) 935-0330
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 11784 | NE | Primary |
Addresses
Primary practice location
6115 N 78TH Ave
Omaha, NE 68134-2129
Mailing address
Pharmacy Practice
2500 California Plaza
Omaha, NE 68178-0001
Phone (402) 280-3692
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 |
|---|---|---|---|
| 11784 | NE | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1871782938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PHARMACY PRACTICE",
"address_2": "2500 CALIFORNIA PLAZA",
"city": "OMAHA",
"state": "NE",
"postal_code": "681780001",
"telephone_number": "402-280-3692",
"fax_number": "402-280-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 N 78TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681342129",
"telephone_number": "402-935-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLEMAN",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NE",
"license": "11784",
"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 Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.