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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | IOWA LICENSE | 4622 | 01 |
IA | 1523746 | 05 | |
NE | 10026519108 | 05 | |
NE | NEBRASKA COMMUNITY PHARMACY PERMIT | 2416 | 01 |
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 |
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 |
Street Address |
8613 N 30TH ST |
City | OMAHA |
State | NE |
Zip Code | 68112-1852 |
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 |
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 Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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] |
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 |
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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.