ALIVATION PHARMACY, LLC (NPI# 1215473293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215473293 |
| Entity Type | Organization |
| Organization Name | ALIVATION PHARMACY, LLC |
| Practice Address |
8550 Cuthills Cir Lincoln NE 68526-9474 |
| Practice Telephone | 4024765686 |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | DR. WALTER DUFFY (OWNER) |
| Authorized Official Telephone | 4024765686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 684 | NE | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
684 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NE BOARD OF PHARMACY | 684 | 01 |
| Street Address |
8550 CUTHILLS CIR |
| City | LINCOLN |
| State | NE |
| Zip Code | 68526-9474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609103415 | Kristen Alyce Bruening | Physician Assistant | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2009-11-16 |
| 1952913428 | Michelle R. Fedon | Nurse Practitioner | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2020-08-17 |
| 1629621354 | Kerry L Emeigh | Nurse Practitioner | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2019-07-22 |
| 1568928745 | Makensie Rae Christel | Physician Assistant | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2019-02-13 |
| 1194208900 | Georgina L Johnson | Nurse Practitioner | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2018-09-08 |
| 1558856898 | Miranda Ashley Pollman | Family Medicine | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2018-06-28 |
| 1477066629 | Shauna L Beckman | Nurse Practitioner | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2017-11-09 |
| 1417471764 | Alivation Health, LLC | Clinic/Center | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2017-07-28 |
| 1477074102 | Mary Irene Hofferber | Nurse Practitioner | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2017-07-03 |
| 1376088534 | Rachel Elaine Scoggins | Pharmacist | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2016-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251189 | Jennifer Demesquita Harrison | Nurse Practitioner | Alivation Health, 8550 Cuthills Circle, Lincoln, NE 68526 | 2019-05-22 |
| 1265954648 | Grant Essink | Dentist | 7822 South 96th Bay, Lincoln, NE 68526 | 2017-07-07 |
| 1528405719 | Charles Weston Whitten | Anesthesiology | 4546 S 86th St Ste B, Lincoln, NE 68526 | 2013-05-28 |
| 1912055112 | Hemantha Kumar Koduri | Internal Medicine | 4445 S 86th St Ste 100, Lincoln, NE 68526 | 2007-01-06 |
| 1306909585 | Melanie J Fulton | Dentist | 4525 So 86th, Ste A, Lincoln, NE 68526 | 2006-12-18 |
| 1952359812 | Kathleen Ann Packard | Pharmacist | 7440 S 91st Street, Lincoln, NE 68526 | 2006-05-04 |
| 1861932444 | Amber Walter | Advanced Practice Midwife | 9110 Andermatt Drive, Ste 2, Lincoln, NE 68526 | 2017-03-02 |
| 1801205794 | Danielle Melissa Kollasch | Physician Assistant | 8550 Cuthills Circle, Lincoln, NE 68526 | 2014-08-05 |
| 1891132700 | Michaela Irene Kadavy | Counselor | 4545 S 86th St, Lincoln, NE 68526 | 2013-05-31 |
| 1578827614 | Sams West Inc | Technician/Technologist | 8480 Andermatt Dr, Lincoln, NE 68526 | 2012-07-03 |
| Find all providers in zip 68526 | ||||
| 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 |
|---|---|---|---|---|
| 1952960783 | Lincoln Pharmacy LLC | Pharmacy | 3300 A Street, Ste 100, Lincoln, NE 68510-4512 | 2019-06-06 |
| 1609348895 | Sharshon Pharmacy, Inc. | Pharmacy | 616b Woodlawn Rd, Lincoln, IL 62656-1590 | 2018-12-28 |
| 1083128250 | Innovative Pain & Spine Specialists | Pharmacy | 7121 Stephanie Ln Ste 104, Lincoln, NE 68516-5359 | 2017-11-27 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1558897751 | Harps Food Stores, Inc | Pharmacy | 310 W Pridemore Drive, Lincoln, AR 72744 | 2017-05-08 |
| 1891085486 | Alcona Citizens for Health, Inc. | Pharmacy | 177 N Barlow, Lincoln, MI 48742 | 2011-04-15 |
| 1548576192 | Nebraska Cvs Pharmacy LLC | Pharmacy | 4808 O St, Lincoln, NE 68510-1908 | 2010-08-20 |
| 1831230036 | Nebraska Medical Center | Pharmacy | 550 N. 19th Street, Lincoln, NE 68588 | 2007-02-09 |
| 1194898197 | Four Star Drug of Bethany Inc | Pharmacy | 1340 N 66th St, Lincoln, NE 68505-1822 | 2006-11-16 |
| 1528131521 | Four Star Drug of Lincoln Nebraska Inc | Pharmacy | 1265 S Cotner Blvd, Lincoln, NE 68510-4923 | 2006-11-16 |
| Find all providers in LINCOLN | ||||
Please comment or provide details below to improve the information on ALIVATION PHARMACY, LLC.
| 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.