KEITH RONALD HENTZEN (NPI# 1386632891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386632891 |
| Entity Type | Individual |
| Full Name | KEITH RONALD HENTZEN |
| Credential | RP |
| Practice Address |
205 Main St #130 Springfield NE 68059-3230 |
| Mailing Address |
18907 Walnut Dr Gretna NE 68028-7238 |
| Practice Telephone | 4022532000 |
| Practice Fax Number | 4022532001 |
| Mailing Telephone | 4023324668 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8552 | NE | Pharmacy Service Providers |
| Street Address |
205 MAIN ST #130 |
| City | SPRINGFIELD |
| State | NE |
| Zip Code | 68059-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053854018 | Springfielddrug | Pharmacy | 205 Main St, Springfield, NE 68059-3230 | 2016-11-23 |
| 1154864270 | Springfielddrug | Pharmacy | 205 Main St, Springfield, NE 68059-3230 | 2016-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225502362 | Liebentritt Family Dentistry | Dentist | 191 Main St., Springfield, NE 68059 | 2019-01-11 |
| 1720338114 | Ashlie Bergren | Registered Nurse | 780 N 1st Street, Springfield, NE 68059 | 2012-09-13 |
| 1720008006 | Springfield Vol Fire and Rescue Inc | Ambulance | 505 S 1 St Street, Springfield, NE 68059 | 2006-07-20 |
| 1679885396 | Carington Home Saftey Inc | Durable Medical Equipment & Medical Supplies | 138 Main Street, Springfield, NE 68059 | 2010-07-10 |
| 1255329389 | Michael E Liebentritt | Dentist | 191 Main St, Springfield, NE 68059 | 2005-10-12 |
| 1003806878 | Matthew M Liebentritt | Dentist | 191 Main Street, Springfield, NE 68059-0328 | 2005-10-24 |
| 1043616840 | Ignite Life | Lactation Consultant, Non-RN | 780 N 1st St, Springfield, NE 68059-4704 | 2014-11-06 |
| 1417214735 | Deena M. Curtis | Specialist/Technologist | 14801 S 108th St, Springfield, NE 68059-4925 | 2012-04-12 |
| 1336756154 | Jan Mckay | Speech-Language Pathologist | 14801 S 108th St, Springfield, NE 68059-4925 | 2020-09-25 |
| 1205302205 | Marianne Whitcomb | Speech-Language Pathologist | 14801 S 108th St, Springfield, NE 68059-4925 | 2018-10-17 |
| Find all providers in zip 68059 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946299 | Vy Dang | Pharmacist | 45 Willow St Apt 510, Springfield, MA 01103-1966 | 2020-09-15 |
| 1114539756 | Logan Meredith Haley | Pharmacist | 6039 New Chapel Rd, Springfield, TN 37172-1338 | 2020-08-17 |
| 1801413349 | Tung Tran | Pharmacist | 1028 Lincoln Ave, Springfield, PA 19064-3923 | 2020-07-01 |
| 1033739453 | John Frederick Endris | Pharmacist | 505 Colbrook Dr, Springfield, IL 62702-3384 | 2020-04-27 |
| 1770103889 | Seth Nelson | Pharmacist | 1150 N 5th St, Springfield, IL 62702-3800 | 2020-04-18 |
| 1952921074 | Edward John Oldfield | Pharmacist | 3441 Smythberry Ln Apt 7, Springfield, IL 62711-8210 | 2020-04-18 |
| 1255965240 | Matthew Sherriffs | Pharmacist | 2 Medical Center Dr Ste 204, Springfield, MA 01107-1271 | 2020-02-27 |
| 1023649134 | Kendra Yociss | Pharmacist | 201 E Madison St, Springfield, IL 62702-5131 | 2020-01-28 |
| 1861049397 | Laura A Kosiorek | Pharmacist | 242 Prentice St, Springfield, MA 01104-1525 | 2019-08-20 |
| 1144880048 | Akemi Nishida | Pharmacist | 520 Ethan Ct, Springfield, OR 97477-9407 | 2019-06-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 68059 |
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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.