Active NPI
Andrea Harrison
- Pharmacist
- Lincoln, NE
National Provider Identifier
1952179574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14968
- Practice address
- 840 Fallbrook Blvd
Lincoln, NE 68521-6648 - Phone
- (402) 438-8870
- Fax
- (402) 438-8871
- NPI assigned
- Dec 13, 2023
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14968 | NE | Primary |
Addresses
Primary practice location
840 Fallbrook Blvd
Lincoln, NE 68521-6648
Mailing address
840 Fallbrook Blvd
Lincoln, NE 68521-6648
Phone (402) 438-8870
Other practice location 1
130 N 66th St
Lincoln, NE 68505-2402
Phone (402) 325-0254
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14968 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & R Stores Inc | Past | Accepting new patients |
Organizations & group practices 1
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
- Des Moines, IA
- NPI 1164455218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1952179574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 FALLBROOK BLVD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685216648",
"telephone_number": "402-438-8870",
"fax_number": "402-438-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 FALLBROOK BLVD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685216648",
"telephone_number": "402-438-8870",
"fax_number": "402-438-8871"
}
],
"practiceLocations": [
{
"address_1": "130 N 66th St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685052402",
"country_code": "US",
"telephone_number": "402-325-0254",
"fax_number": "402-325-0259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRISON",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2023-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.