ALEGENT CREIGHTON HEALTH (NPI# 1083700959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083700959 |
Entity Type | Organization |
Organization Name | ALEGENT CREIGHTON HEALTH |
Practice Address |
3308 Samson Way Ste 106a Bellevue NE 68123-3235 |
Practice Telephone | 4022915076 |
Practice Fax Number | 4022939464 |
Mailing Telephone | 4022915076 |
Mailing Fax Number | 4022939464 |
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 |
2807 | NE | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | NEBRASKA COMMUNITY PHARMACY PERMIT | 2807 | 01 |
IA | 0204528 | 05 | |
NE | 10026519106 | 05 | |
IA | LICENSE | 4704 | 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 |
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 |
1427453042 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 16101 Evans St., Suite #101, Omaha, NE 68116-2020 | 2014-10-24 |
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 |
3308 SAMSON WAY STE 106A |
City | BELLEVUE |
State | NE |
Zip Code | 68123-3235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
Find all providers in zip 68123 |
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 |
---|---|---|---|---|
1164864922 | Costco Wholesale Corporation | Pharmacy | 2355 Costco Way, Bellevue, WI 54311 | 2013-07-22 |
1740305879 | Sound Prescriptions LLC | Pharmacy | 1200 112th Ave Ne Ste A102, Bellevue, WA 98004-3708 | 2007-03-20 |
1821139551 | No Frills Pharmacy LLC | Pharmacy | 1510 Harlan Dr, Bellevue, NE 68005-3650 | 2007-02-08 |
1255448544 | The Bartell Drug Company | Pharmacy | 424 Bellevue Way Ne, Bellevue, WA 98004-5015 | 2006-08-24 |
1881605012 | Walgreen Co | Pharmacy | 1802 Galvin Rd S, Bellevue, NE 68005-3813 | 2006-08-11 |
1255346292 | Walgreen Co | Pharmacy | 6905 S 36th St, Bellevue, NE 68147-1231 | 2006-07-29 |
1134152473 | Haggen Inc. | Pharmacy | 15751 Ne 15th St, Bellevue, WA 98008-2778 | 2006-07-09 |
1417566191 | Hartig Drug Co Corp | Pharmacy | 115 State St, Bellevue, IA 52031-1307 | 2020-07-28 |
1326598640 | Ipsen Pharmacy Services LLC | Pharmacy | 15615 Bel Red Rd, Bellevue, WA 98008-2300 | 2016-10-11 |
1144641986 | University of Washington | Pharmacy | 3100 Northup Way, Bellevue, WA 98004-1467 | 2013-12-20 |
Find all providers in BELLEVUE |
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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.