NEBRASKA CVS PHARMACY LLC (NPI# 1306167168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306167168 |
| Entity Type | Organization |
| Organization Name | NEBRASKA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 05863 |
| Practice Address |
14460 W Maple Rd Omaha NE 68116-5163 |
| Mailing Address |
1 Cvs Dr Box 1075 Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 4024930443 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 2817976 | 01 | |
| NE | 10025882600 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 05863 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366821944 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2307 23rd St, Columbus, NE 68601-3303 | 2015-05-28 |
| 1912333097 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1301 West Norfolk Ave, Norfolk, NE 68701 | 2013-09-19 |
| 1811339633 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1710 W 2nd St, Grand Island, NE 68803-5409 | 2013-07-22 |
| 1144585217 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6901 South 84th St, La Vista, NE 68128-2127 | 2012-07-05 |
| 1497012967 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8315w Center Rd, Omaha, NE 68124-3111 | 2012-04-20 |
| 1023374808 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 South St L, Lincoln, NE 68502 | 2012-04-06 |
| 1699057760 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5611 South 27th St, Lincoln, NE 68512-1613 | 2011-09-15 |
| 1831479401 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 N 90th St, Omaha, NE 68114 | 2011-08-26 |
| 1629358064 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2609 S 132nd St, Omaha, NE 68144-2595 | 2011-08-17 |
| 1326341546 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1701 Galvin Rd S, Bellevue, NE 68005-3810 | 2010-12-09 |
| Street Address |
14460 W MAPLE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68116-5163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891023529 | Tamara L Fischer | Nurse Practitioner | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2009-11-18 |
| 1689273278 | Maelene Kay Schuhmacher-omar | Nurse Practitioner | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2020-10-23 |
| 1518592849 | Sara Laville | Pharmacist | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2020-03-06 |
| 1679108377 | Trevor Daniel Hillman | Pharmacist | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2020-03-03 |
| 1710451851 | Kristi Kay Biltoft | Nurse Practitioner | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2019-01-11 |
| 1427444975 | Thu Hong Bui | Pharmacist | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2015-04-11 |
| 1144637000 | Jennifer Lara Bryant | Nurse Practitioner | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2014-07-11 |
| 1528408325 | Jennifer Lynn Schmitz | Nurse Practitioner | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2013-06-26 |
| 1417228123 | Christie L Bower | Nurse Practitioner | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2012-01-26 |
| 1982990685 | Teri Jean Carstens | Pharmacist | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2011-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311997 | Paul Hoppmann | Physical Therapist | 3537 N 162nd Ct, Omaha, NE 68116 | 2020-09-16 |
| 1972148112 | Smile Station Pediatric Dentistry, North LLC | Dentist | 4001 N 168th St, Omaha, NE 68116 | 2019-11-12 |
| 1912564212 | Vision Specialists of Omaha LLC | Optometrist | 3606 N 156th Street, Suite 104, Omaha, NE 68116 | 2019-05-22 |
| 1619450061 | Focus Therapy A West Omaha Counseling Practice | Counselor | 3520 N 163rd Plaza Suite 6, Omaha, NE 68116 | 2018-09-12 |
| 1952831570 | Adam Freeman | Chiropractor | 3605 North 147th Street, Suite 106, Omaha, NE 68116 | 2017-06-15 |
| 1407394042 | Chiropractic Group of Nebraska LLC | Chiropractor | 3727 N 153rd St, Omaha, NE 68116 | 2017-02-02 |
| 1992177083 | Emily Gunderson | Speech-Language Pathologist | 14850 Laurel Ave, Omaha, NE 68116 | 2015-10-28 |
| 1720478647 | Chelsea Hunter | Social Worker | 16101 Evans Street, Omaha, NE 68116 | 2015-01-30 |
| 1982988432 | Andrew Steve Huang-pacheco | Pediatrics | 3306 N 164th St, Omaha, NE 68116 | 2011-10-03 |
| 1073831996 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2814 S 169 St, Omaha, NE 68116 | 2010-05-17 |
| Find all providers in zip 68116 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1215488788 | Cancer Specialty Pharmacy LLC | Pharmacy | 17545 Gold Plz, Omaha, NE 68130-5602 | 2016-10-20 |
| 1437504669 | Brooksiderx LLC | Pharmacy | 11020 Q St, Omaha, NE 68137-3742 | 2016-04-25 |
| 1659633907 | Pharmacy Express Services Inc | Pharmacy | 349 N 78th St, Omaha, NE 68114-3640 | 2012-06-12 |
| 1104969872 | No Frills Pharmacy LLC | Pharmacy | 7646 Dodge St, Omaha, NE 68114-3635 | 2007-02-14 |
| 1295878965 | No Frills Pharmacy LLC | Pharmacy | 2011 N 156th St, Omaha, NE 68116-6465 | 2007-02-14 |
| 1518017656 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 12739 Q Street, Omaha, NE 68137-3211 | 2007-01-11 |
| 1710037841 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 620 N 114th St, Omaha, NE 68154-1571 | 2007-01-11 |
| 1851448898 | Bp Inc | Pharmacy | 15615 Pacific St Ste 8, Omaha, NE 68118-2118 | 2007-01-04 |
| 1699872416 | Occuvax LLC | Pharmacy | 13423 Lynam Dr, Omaha, NE 68138-4446 | 2006-09-20 |
| 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.