DR. STEPHEN PETRY


Address: 555 S 70th St, Lincoln, NE 68510-2462
Phone: 4022197143

DR. STEPHEN PETRY (NPI# 1477909984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477909984
Entity Type Individual
Full Name DR. STEPHEN PETRY
Credential PHARMD
Practice Address 555 S 70th St
Lincoln
NE 68510-2462
Mailing Address 474 Glendenning Pl
Waukegan
IL 60087-5138
Practice Telephone 4022197143
Mailing Telephone 8473378701
Enumeration Date 2016-05-13
Last Update Date 2016-05-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051298835 IL Pharmacy Service Providers
N 183500000X Pharmacist 15043 NE Pharmacy Service Providers

Office Location

Street Address 555 S 70TH ST
City LINCOLN
State NE
Zip Code 68510-2462

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629068440 Robin Beth Allen Internal Medicine 555 S 70th St, Lincoln, NE 68510-2462 2005-10-24
1225654395 Megan Gangwish Nurse Anesthetist, Certified Registered 555 S 70th St, Lincoln, NE 68510-2462 2020-06-24
1669015061 Tysha L Bryant Nurse Practitioner 555 S 70th St, Lincoln, NE 68510-2462 2019-10-18
1457911752 Nichole Katherine Walkinshaw Registered Nurse 555 S 70th St, Lincoln, NE 68510 2019-06-18
1013446913 Natasha Nicole Andersen Emergency Medicine 555 S 70th St, Lincoln, NE 68510-2462 2017-06-06
1013446004 Paige Policky Physician Assistant 555 S 70th St, Lincoln, NE 68510-2462 2017-06-05
1275983678 Emalie Petersen Registered Nurse 555 S 70th St, Lincoln, NE 68510-2462 2016-06-16
1740636109 Sheila Ann Tuma Nurse Practitioner 555 S 70th St, Lincoln, NE 68510-2462 2016-05-04
1053766303 Leyuan Jack Chen Family Medicine 555 S 70th St, Lincoln, NE 68510-2462 2016-04-24
1861853186 Dia Gerdes Occupational Therapist 555 S 70th St, Lincoln, NE 68510-2462 2016-03-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659925121 Nichole Renee Boggs Pharmacist 7045 O St., Lincoln, NE 68510 2019-08-01
1700361573 Sue Marie Maxwell Licensed Practical Nurse Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 2018-09-27
1649752759 Kathryn Jean Kuzelka Licensed Practical Nurse 544 South 28th Street, Lincoln, NE 68510 2018-09-05
1013404599 Amanda Ehlers Registered Nurse Lps District Office, 5905 O Street, Lincoln, NE 68510 2018-04-19
1225535081 Jana Kathleen Mcnemar Counselor 245 South 84th Street, Suite 212, Lincoln, NE 68510 2018-04-09
1265932313 Kimberly Elwood Specialist/Technologist 2229 J St., Lincoln, NE 68510 2018-02-15
1881193266 Susan Kangas-packett Registered Nurse 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 2018-02-12
1023517000 Tara Johnson Licensed Practical Nurse Lpsdo 5905 O St, Lincoln, NE 68510 2018-02-06
1427566413 Tracy Russell Counselor 245 S 84th Street, Suite 212, Lincoln, NE 68510 2018-01-12
1447778964 Erin Elizabeth Cristello Speech-Language Pathologist 300 S 48th Street, Lincoln, NE 68510 2017-09-05
Find all providers in zip 68510

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457965923 Joseph Edward Dimasso Pharmacist 106 Wilbur Rd, Lincoln, RI 02865-4320 2020-09-02
1811509367 Brendan Bu Pharmacist 1393 Rawlings Ln, Lincoln, CA 95648-3220 2020-08-17
1871128199 Kamy Niemeyer Pharmacist 5611 S 27th St, Lincoln, NE 68512-1613 2020-03-06
1518504802 Just Better Medicine Pharmacist 6545 Stonebrook Pkwy, Lincoln, NE 68521-6659 2019-12-05
1831735604 Cynthia Marcotte Pharmacist 915 1850th St, Lincoln, IL 62656-5210 2019-11-26
1659925121 Nichole Renee Boggs Pharmacist 7045 O St., Lincoln, NE 68510 2019-08-01
1144884347 Simon Rasho Pharmacist 6600 Peonies Dr, Lincoln, NE 68521-4573 2019-04-24
1346712858 Ryan Ray Zwick Pharmacist 1600 S 48th St # Ne68506, Lincoln, NE 68506-1283 2018-12-21
1619455276 Brian Derrick Sneed Pharmacist 919 Pulaski St, Lincoln, IL 62656-3133 2018-08-04
1912499864 Nicole Christine O'brien Pharmacist 32 Linda St, Lincoln, RI 02865-2216 2018-06-05
Find all providers in LINCOLN

Competitor

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City LINCOLN
Zip Code 68510

Improve Information

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Dataset Information

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.

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