ALEGENT CREIGHTON HEALTH (NPI# 1558457440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558457440 |
| Entity Type | Organization |
| Organization Name | ALEGENT CREIGHTON HEALTH |
| Other Organization Name | CHI HEALTH PHARMACY - BERGAN MERCY |
| Practice Address |
7710 Mercy Rd Ste 110 Omaha NE 68124-2372 |
| Practice Telephone | 4023986781 |
| Practice Fax Number | 4023986036 |
| Mailing Telephone | 4023986781 |
| Mailing Fax Number | 4023986036 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MIKE TIESI (SENIOR DIRECTOR) |
| Authorized Official Telephone | 4023434546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1472 | NE | Suppliers |
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4703 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026519113 | 05 | |
| PK | 2053673 | 01 | |
| IA | 0220637 | 05 |
| Other Name | Type Code |
|---|---|
| CHI Health Pharmacy - Bergan Mercy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295293744 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 1288 Valley View Drive, Pharmacy Ste 101, Council Bluffs, IA 51503-5245 | 2019-03-04 |
| 1104251628 | Alegent Creighton Health | Radiology | 17201 Wright St Ste 100, Omaha, NE 68130-2042 | 2013-09-04 |
| 1952660615 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 8248 S 96th St Ste 101, La Vista, NE 68128-3126 | 2012-05-15 |
| 1427317205 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 13315 W Center Rd Ste 101, Omaha, NE 68144-3449 | 2012-05-14 |
| 1164553954 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 17201 Wright St, Suite 202, Omaha, NE 68130-2042 | 2007-03-07 |
| 1033288923 | Alegent Creighton Health | Dietitian, Registered | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2006-11-07 |
| 1083700959 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 3308 Samson Way Ste 106a, Bellevue, NE 68123-3235 | 2006-10-05 |
| 1760578652 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 16909 Lakeside Hills Ct Ste 107, Omaha, NE 68130-4661 | 2006-10-05 |
| 1508213810 | Alegent Creighton Health | Clinic/Center | 11111 S 84th St, Papillion, NE 68046-4122 | 2016-05-17 |
| 1376910448 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 4220 L St, Omaha, NE 68107-1048 | 2015-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALEGENT CREIGHTON HEALTH | 7261 Mercy Rd, Omaha, NE 68124-2311 |
| Washington State Corporations | ALEGENT CREIGHTON HEALTH | 12809 W Dodge Rd, Omaha, NE 68154 |
| Street Address |
7710 MERCY RD STE 110 |
| City | OMAHA |
| State | NE |
| Zip Code | 68124-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555753 | Gernon A Longo | Urology | 7710 Mercy Rd, Ste 608, Omaha, NE 68124-2346 | 2005-06-01 |
| 1396342739 | Ashley N Klepinger | Nurse Practitioner | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2020-10-08 |
| 1437768769 | Faith Opeyemi Abodunrin | Internal Medicine | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2020-07-22 |
| 1841817087 | Abdelrazeg Abubaker A Houssein | Internal Medicine | 7710 Mercy Rd, Suite 202- Cu Department of Internal Medicine, Omaha, NE 68124-2353 | 2020-07-04 |
| 1538780382 | Amarjyot Kaur Randhawa | Student in an Organized Health Care Education/Training Program | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2020-05-04 |
| 1467004374 | Moeed Ahmed | Internal Medicine | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2019-07-10 |
| 1609434976 | Erica F Fritz | Nurse Practitioner | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2019-06-03 |
| 1053880732 | Beth Mckelvey | Pharmacist | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2018-11-25 |
| 1205314036 | Abdallah Qasim | Internal Medicine | 7710 Mercy Rd, Suite 202- Cu Department of Internal Medicine, Omaha, NE 68124 | 2018-08-02 |
| 1649766130 | Taylor Soon-sutton | Urology | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2018-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1295257657 | Margaret R Hodges | Dietitian, Registered | 8715 Oak Street, Omaha, NE 68124 | 2017-07-07 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1578010542 | Mary Ellen Royer | Counselor | 8715 Oak St., Omaha, NE 68124 | 2016-09-07 |
| 1750759361 | Pain Centers of The Midlands LLC | Anesthesiology | 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 | 2015-09-14 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1841631215 | Nebraska Organ Recovery System | Organ Procurement Organization | 8502 West Center Road, Omaha, NE 68124 | 2013-07-12 |
| Find all providers in zip 68124 | ||||
| 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 |
|---|---|---|---|---|
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1568704948 | Jsk Drug LLC | Pharmacy | 11722 Stonegate Cir, Omaha, NE 68164-3692 | 2013-03-22 |
| 1164763470 | Midwest Surgical Hosptial, LLC. | Pharmacy | 7915 Farnam Dr, Omaha, NE 68114-4504 | 2013-03-12 |
| 1427397322 | Stonybrook Pharmacy LLC | Pharmacy | 13921 S Plz, Omaha, NE 68137-2916 | 2013-02-12 |
| 1710206768 | Nf Foods LLC | Pharmacy | 1221 S 203rd St, Omaha, NE 68130-2808 | 2010-05-28 |
| 1326295478 | Rockbrook Health Mart Pharmacy | Pharmacy | 10913 Prairie Brook Rd, Omaha, NE 68144-4828 | 2008-08-20 |
| 1124211206 | Costco Wholesale Corporation | Pharmacy | 12300 W Dodge Rd, Omaha, NE 68154 | 2007-08-22 |
| 1932242609 | No Frills Pharmacy LLC | Pharmacy | 8005 Blondo St, Omaha, NE 68134-6664 | 2007-02-14 |
| 1013050780 | No Frills Pharmacy LLC | Pharmacy | 820 N Saddle Creek Rd, Omaha, NE 68132-2520 | 2007-02-14 |
| 1194866582 | Keystone Wholesale Co | Pharmacy | 7328 Maple St, Omaha, NE 68134-6829 | 2007-02-09 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on ALEGENT CREIGHTON HEALTH.
| 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.