Active NPI
Wayne L Tate, PHARMD, MBA
- Pharmacist
- Omaha, NE
National Provider Identifier
1982144960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11913
- Practice address
- 2915 Grant St
Omaha, NE 68111-3863 - Phone
- (402) 451-3553
- NPI assigned
- Feb 24, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 11913 | NE | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 11913 | NE |
Addresses
Primary practice location
2915 Grant St
Omaha, NE 68111-3863
Mailing address
PO Box 34853
Omaha, NE 68134-0853
Phone (402) 250-1668
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11913 | NE | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1982144960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34853",
"city": "OMAHA",
"state": "NE",
"postal_code": "681340853",
"telephone_number": "402-250-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 GRANT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113863",
"telephone_number": "402-451-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "WAYNE",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-24",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11913",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NE",
"license": "11913",
"primary": false
}
],
"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 Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.