Bonnie C. Vandenberg, R.P.

Primary specialty

PharmacistTaxonomy code 183500000X

License

11712 Issued in NE

Practice address

7328 Maple St
Omaha, NE 68134-6829

Phone

(402) 391-2659

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Keystone Wholesale Co

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1003982307
  NPD (past)
• Keystone Wholesale Co

  • Community/Retail Pharmacy
  • Omaha, NE
  • NPI 1194866582
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1972625408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346829",
            "telephone_number": "402-391-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7328 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346829",
            "telephone_number": "402-391-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBERG",
        "first_name": "BONNIE",
        "middle_name": "C.",
        "credential": "R.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "11712",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "043041",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-11548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malia Vance
• Michael D Vance, PHD
• Rebekah Vance
• Rhonda Kay Vance, APRN
• Michele Vandehey, M.S., CCC-SLP
• Edward V Vandenberg, MD
• Ashley Nicole Joy Vandenhul
• Olivia Vander Haar, OT
• Derrick Vander Linden, DC
• Brandon Lee Vander Zee, MD

• Pharmacist in Omaha, NE
• Providers in Omaha, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.