FATHER FLANAGANS BOYS HOME (NPI# 1578740502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578740502 |
| Entity Type | Organization |
| Organization Name | FATHER FLANAGANS BOYS HOME |
| Other Organization Name | BOYS TOWN EMPLOYEE PHARMACY |
| Practice Address |
14080 Hospital Rd Boys Town NE 68010 |
| Mailing Address |
14080 Boys Town Hospital Rd Boys Town NE 68010-7513 |
| Practice Telephone | 4027786063 |
| Practice Fax Number | 4027786062 |
| Mailing Telephone | 4027786063 |
| Mailing Fax Number | 4027786062 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2016-06-16 |
| Authorized Official Name | DAVID SONGSTER (DIR OF PHCY) |
| Authorized Official Telephone | 4024986355 |
| Authorized Official Credential | PHRMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
2795 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2055968 | 01 |
| Other Name | Type Code |
|---|---|
| BOYS TOWN EMPLOYEE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235795568 | Father Flanagans Boys Home | Anesthesiology | 555 N 30th St, Omaha, NE 68131-2136 | 2019-05-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FATHER FLANAGANS BOYS HOME | 14100 Crawford St, Boys Town, NE 68010-7520 |
| Street Address |
14080 HOSPITAL RD |
| City | BOYS TOWN |
| State | NE |
| Zip Code | 68010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578534632 | Elizabeth Ann Hastreiter | Nurse Practitioner | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2006-01-27 |
| 1134493034 | Kara Marie Wolff | Nurse Practitioner | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2012-02-24 |
| 1316217946 | Tara Leah Goesch | Nurse Practitioner | 14080 Hospital Rd, Children's Hosp & Medical Ctr - Cardiothoracic Surgery, Boys Town, NE 68010-7513 | 2012-01-12 |
| 1346518636 | Linda A Brady | Registered Nurse | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2011-12-01 |
| 1265730519 | Jennifer Frances Banfield | Nurse Practitioner | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2011-03-10 |
| 1457671539 | Jeremiah John Gums | Internal Medicine | 14080 Hospital Rd, Boys Town, NE 68010 | 2010-06-11 |
| 1043472632 | Michael G Dawson | Pediatrics | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2008-06-26 |
| 1992964142 | Erica Nell Martin | Pediatrics | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2008-06-03 |
| 1346444585 | Carrie Ab Hoarty | Internal Medicine | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2007-06-12 |
| 1699989442 | Kari Ann Neemann | Internal Medicine | 14080 Hospital Rd, Boys Town, NE 68010-7513 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1649764234 | Sandra Andres | Counselor | 14092 Hospital Rd, Boys Town, NE 68010 | 2018-06-18 |
| 1689053456 | Jennifer Inbarasu | Psychiatry & Neurology | 14092 Boys Town Hospital Rd, Boys Town, NE 68010 | 2015-05-26 |
| 1467857763 | Kimberly Christine Alexander | Counselor | 14188 Mother Theresa Ln, Boys Town, NE 68010 | 2014-10-29 |
| 1205256500 | Kimberly D Mackey | Counselor | Boys Town National Research Hospital Rtc2, 14092 Hospital Road, Boys Town, NE 68010 | 2014-04-24 |
| 1922266030 | Rachel Marie Brabec | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2008-05-26 |
| 1598820912 | Shelly L Nykodym | Counselor | 14100 Crawford Rd, Boys Town, NE 68010 | 2006-12-26 |
| 1275600587 | Douglas F Spellman | Psychiatry & Neurology | 14092 Boys Town Hospital Road, Boys Town, NE 68010 | 2006-11-29 |
| 1548873656 | Carolyn Romano | Pharmacist | 14000 Hospital Road, Boys Town, NE 68010 | 2020-08-28 |
| 1952869463 | Megan Kathleen Richter | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-03-05 |
| Find all providers in zip 68010 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| 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 |
|---|---|---|---|---|
| 1437541315 | Think Aksarben Pharmacy LLC | Pharmacy | 7100 W Center Rd, Omaha, NE 68106-2714 | 2015-03-02 |
Please comment or provide details below to improve the information on FATHER FLANAGANS BOYS HOME.
| 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.