ALEGENT CREIGHTON HEALTH


Address: 8613 N 30th St, Omaha, NE 68112-1852
Phone: 4024512125

ALEGENT CREIGHTON HEALTH (NPI# 1023104999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023104999
Entity Type Organization
Organization Name ALEGENT CREIGHTON HEALTH
Practice Address 8613 N 30th St
Omaha
NE 68112-1852
Practice Telephone 4024512125
Practice Fax Number 4024512401
Mailing Telephone 4024512125
Mailing Fax Number 4024512401
Enumeration Date 2006-10-05
Last Update Date 2017-10-23
Authorized Official Name MIKE TIESI (SENIOR DIRECTOR OF PHARMACY)
Authorized Official Telephone 4023434546
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
2416 NE Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
IA IOWA LICENSE 4622 01
IA 1523746 05
NE 10026519108 05
NE NEBRASKA COMMUNITY PHARMACY PERMIT 2416 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295293744 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 1288 Valley View Drive, Pharmacy Ste 101, Council Bluffs, IA 51503-5245 2019-03-04
1104251628 Alegent Creighton Health Radiology 17201 Wright St Ste 100, Omaha, NE 68130-2042 2013-09-04
1952660615 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 8248 S 96th St Ste 101, La Vista, NE 68128-3126 2012-05-15
1427317205 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 13315 W Center Rd Ste 101, Omaha, NE 68144-3449 2012-05-14
1164553954 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 17201 Wright St, Suite 202, Omaha, NE 68130-2042 2007-03-07
1033288923 Alegent Creighton Health Dietitian, Registered 12809 W Dodge Road, Omaha, NE 68154-2155 2006-11-07
1083700959 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 3308 Samson Way Ste 106a, Bellevue, NE 68123-3235 2006-10-05
1760578652 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 16909 Lakeside Hills Ct Ste 107, Omaha, NE 68130-4661 2006-10-05
1508213810 Alegent Creighton Health Clinic/Center 11111 S 84th St, Papillion, NE 68046-4122 2016-05-17
1376910448 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 4220 L St, Omaha, NE 68107-1048 2015-08-25

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ALEGENT CREIGHTON HEALTH 7261 Mercy Rd, Omaha, NE 68124-2311
Washington State Corporations ALEGENT CREIGHTON HEALTH 12809 W Dodge Rd, Omaha, NE 68154

Office Location

Street Address 8613 N 30TH ST
City OMAHA
State NE
Zip Code 68112-1852

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447207584 Michael Patrick Grace Family Medicine 8613 N 30th St, Omaha, NE 68112-1852 2006-05-27
1922661263 Mallory Mckenzie Pharmacist 8613 N 30th St, Omaha, NE 68112-1852 2019-04-22
1578979696 Jennifer Collins Registered Nurse 8613 N 30th St, Omaha, NE 68112-1852 2014-07-09
1598988214 Gerald Arthur Sievers Pharmacist 8613 N 30th St, Omaha, NE 68112-1852 2007-04-11
1043365109 Laura Lindauer Physician Assistant 8613 N 30th St, Omaha, NE 68112-1852 2007-01-25
1922158922 C. Mcminn Family Medicine 8613 N 30th St, Omaha, NE 68112-1852 2007-01-11
1831249838 Charles Mcminn Family Medicine 8613 N 30th St, Omaha, NE 68112-1852 2007-01-11
1033207857 Stephen Lee Gillespie Dentist 8613 N 30th St, Suite 103, Omaha, NE 68112-1852 2006-10-10
1740229384 Jeffery Jacobs Emergency Medicine 8613 N 30th St, Omaha, NE 68112-1852 2006-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881844017 Ltc Healthcare At Florence, Inc. Skilled Nursing Facility 3110 Scott Circle, Omaha, NE 68112 2008-09-24
1780614156 Shirley Lynn Miller Pediatrics 55 Mdg, 2501 Capehart Rd, Offutt Afb, NE 68112 2006-07-03
1083655435 Dillon Companies LLC Durable Medical Equipment & Medical Supplies 7312 N 30th St, Omaha, NE 68112 2006-06-09
1841798477 Hinners Geriatric Medicine, LLC Internal Medicine 7915 N 30th St, Omaha, NE 68112 2018-01-29
1619143591 Kimberly Gene Krajewski Clark Counselor 6720 N 30th St, Heartland Family Service, Omaha, NE 68112 2008-05-01
1992864045 Heartland Family Service Clinic/Center 6720 N 30th St, Omaha, NE 68112 2006-12-06
1073927885 Jordan Hodges Physical Therapy Assistant 12502 Ponca Rd, Omaha, NE 68112-1028 2014-06-19
1962589762 Ponca Hills Volunteer Fire Department Ambulance 12919 Ponca Rd, Omaha, NE 68112-1056 2006-11-01
1942676648 Ponca Hills Fire District Ambulance 12919 Ponca Rd, Omaha, NE 68112-1056 2015-08-17
1043851926 Home Speech LLC Speech-Language Pathologist 11317 N Post Rd, Omaha, NE 68112-1218 2019-10-02
Find all providers in zip 68112

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801374491 Walnut Creek LLC Pharmacy 11020 Q Street, Omaha, NE 68137 2018-08-06
1568704948 Jsk Drug LLC Pharmacy 11722 Stonegate Cir, Omaha, NE 68164-3692 2013-03-22
1164763470 Midwest Surgical Hosptial, LLC. Pharmacy 7915 Farnam Dr, Omaha, NE 68114-4504 2013-03-12
1427397322 Stonybrook Pharmacy LLC Pharmacy 13921 S Plz, Omaha, NE 68137-2916 2013-02-12
1710206768 Nf Foods LLC Pharmacy 1221 S 203rd St, Omaha, NE 68130-2808 2010-05-28
1326295478 Rockbrook Health Mart Pharmacy Pharmacy 10913 Prairie Brook Rd, Omaha, NE 68144-4828 2008-08-20
1124211206 Costco Wholesale Corporation Pharmacy 12300 W Dodge Rd, Omaha, NE 68154 2007-08-22
1932242609 No Frills Pharmacy LLC Pharmacy 8005 Blondo St, Omaha, NE 68134-6664 2007-02-14
1013050780 No Frills Pharmacy LLC Pharmacy 820 N Saddle Creek Rd, Omaha, NE 68132-2520 2007-02-14
1194866582 Keystone Wholesale Co Pharmacy 7328 Maple St, Omaha, NE 68134-6829 2007-02-09
Find all providers in OMAHA

Competitor

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City OMAHA
Zip Code 68112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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