Active NPI
Georgianna Simone Peng-Chen, PHARM D
- Pharmacist
- Omaha, NE
National Provider Identifier
1982722104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10465
- Practice address
- 601 N 30TH St
Omaha, NE 68131-2137 - Phone
- (402) 449-4567
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 10465 | NE | Primary |
Addresses
Primary practice location
601 N 30TH St
Omaha, NE 68131-2137
Mailing address
312 S 70TH Ave
Omaha, NE 68132-3338
Phone (402) 553-3104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SGPENGCH | Other | NE | NPI |
Other names 1
- Dr. Georgianna Simone Peng-Chen
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 |
|---|---|---|---|
| 10465 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982722104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S 70TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681323338",
"telephone_number": "402-553-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312137",
"telephone_number": "402-449-4567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENG-CHEN",
"first_name": "GEORGIANNA",
"middle_name": "SIMONE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "10465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "SGPENGCH",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGIANNA",
"last_name": "PENG-CHEN",
"middle_name": "SIMONE",
"prefix": "DR.",
"credential": "PHARM D",
"code": "2",
"type": "Professional Name"
}
]
}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 8, 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.