STATE OF NEBRASKA DEPT OF ADMIN SERVICES


Address: 2620 W Van Dorn St, Lincoln, NE 68522-9288
Phone: 4024717805

STATE OF NEBRASKA DEPT OF ADMIN SERVICES (NPI# 1487772562) 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) 1487772562
Entity Type Organization
Organization Name STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Other Organization Name NEBRASKA DEPARTMENT OF CORRECTIONS PHARMACY
Practice Address 2620 W Van Dorn St
Lincoln
NE 68522-9288
Practice Telephone 4024717805
Practice Fax Number 4024717807
Mailing Telephone 4024717805
Mailing Fax Number 4024717807
Enumeration Date 2007-03-27
Last Update Date 2016-04-19
Authorized Official Name DEBRA HUMPHREY (PHARMACY MANAGER)
Authorized Official Telephone 4024717805
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
2572 NE Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2054738 01

Other Provider/Organization Names

Other Name Type Code
NEBRASKA DEPARTMENT OF CORRECTIONS PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013004787 State of Nebraska Dept of Admin Services Psychiatric Hospital 1700 N Victory Rd, Box 1209, Norfolk, NE 68701-6859 2006-10-06
1881791085 State of Nebraska Dept of Admin Services Assisted Living Facility 1102 W 42nd St, Scottsbluff, NE 69361-4711 2006-09-20
1740387943 State of Nebraska Dept of Admin Services Skilled Nursing Facility 12505 S 40th St, Bellevue, NE 68123-1868 2006-09-20
1801993001 State of Nebraska Dept of Admin Services Skilled Nursing Facility 600 E Benjamin Ave, Norfolk, NE 68701-0830 2006-09-20
1821009069 State of Nebraska Dept of Admin Services Pharmacy 801 W Prospector Pl, Lincoln, NE 68522-1970 2006-08-11
1790706034 State of Nebraska Dept of Admin Services Assisted Living Facility 4510 E 56th St, Kearney, NE 68847-4116 2006-07-22
1942240122 State of Nebraska Dept of Admin Services Psychiatric Residential Treatment Facility West Prospector Place & Folsom Street, Lincoln, NE 68509-4949 2006-06-07
1114085826 State of Nebraska Dept of Admin Services Clinic/Center 3000 Lincoln, Beatrice, NE 68310-3319 2006-12-05

Office Location

Street Address 2620 W VAN DORN ST
City LINCOLN
State NE
Zip Code 68522-9288

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285034009 Elizabeth Lauck Pharmacist 2620 W Van Dorn St, Lincoln, NE 68522-9288 2014-08-28
1053698415 Adam John Schulte Pharmacist 2620 W Van Dorn St, Lincoln, NE 68522-9288 2011-11-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356867535 Claire Marie Retka Speech-Language Pathologist 2323 S Coddington Ave., Lincoln, NE 68522 2017-08-18
1558745851 Joelle Marie Vogltance Nurse Practitioner 600 West E. Street, Lincoln, NE 68522 2015-07-16
1205264231 Coddington Medical Family Practice Clinic/Center 1336 West A Street, Suite A, Lincoln, NE 68522 2013-10-30
1376686303 Rajeev Chaturvedi Psychiatry & Neurology West Prospector Place & South Folsom Streets, Dhhs, Lincoln, NE 68522 2007-02-15
1982606703 Louise Stanton Stone Counselor Folson & W Prospector Streets, Lincoln, NE 68522 2005-08-11
1619526894 Resilient Mind Counseling Clinic/Center 2554 Sw 19th St, Lincoln, NE 68522 2019-09-10
1437688868 Echo L Kopplin Physician Assistant 1336 W A St, Lincoln, NE 68522 2017-06-08
1043400807 Developmental Services of Nebraska, Inc. Community/Behavioral Health 2610 W M Ct, Lincoln, NE 68522-1006 2007-07-27
1689044802 Tiffany Eisenbraun Counselor 2610 W M Ct, Lincoln, NE 68522-1006 2015-09-30
1003987736 Michele Yvonne Wilson Counselor 2210 W Laguna Rd, Lincoln, NE 68522-1153 2006-11-13
Find all providers in zip 68522

Taxonomy Information

Taxonomy Code 3336I0012X
Grouping Suppliers
Classification Pharmacy
Specialization Institutional Pharmacy

Taxonomy Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821009069 State of Nebraska Dept of Admin Services Pharmacy 801 W Prospector Pl, Lincoln, NE 68522-1970 2006-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417198805 York General Hospital Pharmacy 2222 Lincoln Ave, York, NE 68467-1030 2009-03-13
1801998828 State of Nebraska Dept. of Admin. Services Pharmacy 3000 Lincoln Blvd, Beatrice, NE 68310 2006-09-01
1891708525 Cheyenne County Hsptl Association Inc Pharmacy 645 Osage St, Sidney, NE 69162-1707 2006-08-14
1386833804 Boone County Health Center Pharmacy 723 W Fairview St, Albion, NE 68620-1725 2007-10-22
1932236593 Memorial Community Health, Inc Pharmacy 1423 7th St, Aurora, NE 68818-1141 2007-02-28
1710023288 Annie Jeffrey Memorial County Health Pharmacy 531 Beebe St, Osceola, NE 68651-5537 2007-01-30

Competitor

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City LINCOLN
Zip Code 68522

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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