CHARLES DREW HEALTH CENTER (NPI# 1659743920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659743920 |
| Entity Type | Organization |
| Organization Name | CHARLES DREW HEALTH CENTER |
| Other Organization Name | CHARLES DREW HEALTH CENTER - PHARMACY |
| Practice Address |
2915 Grant St Omaha NE 68111-3863 |
| Practice Telephone | 4028109806 |
| Practice Fax Number | 4024531970 |
| Mailing Telephone | 4028109806 |
| Mailing Fax Number | 4024531970 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | MISS TARSHA DENISE JACKSON (CHIEF FINANCIAL OFFICIER) |
| Authorized Official Telephone | 4024571215 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHARLES DREW HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 2283 | NE | Suppliers |
| Other Name | Type Code |
|---|---|
| Charles Drew Health Center - Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467818666 | Charles Drew Health Center | Physician Assistant | 1111 North 17th Street, Omaha, NE 68102-4119 | 2016-01-05 |
| 1871962944 | Charles Drew Health Center | Clinic/Center | 2915 Grant St, Omaha, NE 68111-3863 | 2015-09-18 |
| Street Address |
2915 GRANT ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68111-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750395109 | Monique A Tolston | Family Medicine | 2915 Grant St, Omaha, NE 68111-3863 | 2006-07-28 |
| 1811594583 | Hope Chamara Tarrant | Counselor | 2915 Grant St, Omaha, NE 68111-3863 | 2020-10-06 |
| 1841800505 | Abigail Lechner | Nurse Practitioner | 2915 Grant St, Omaha, NE 68111-3863 | 2020-08-06 |
| 1720603889 | Katherine Elizabeth Salinas | Nurse Practitioner | 2915 Grant St, Omaha, NE 68111-3863 | 2020-06-14 |
| 1376177741 | Payton Jibri Hogan | Counselor | 2915 Grant St, Omaha, NE 68111-3863 | 2020-02-25 |
| 1205490067 | Emily Svoboda | Pharmacist | 2915 Grant St, Omaha, NE 68111-3863 | 2019-04-26 |
| 1043725575 | Donald Ray Durant Jr. | Counselor | 2915 Grant St, Omaha, NE 68111-3863 | 2017-12-06 |
| 1982144960 | Wayne L Tate | Pharmacist | 2915 Grant St, Omaha, NE 68111-3863 | 2017-02-24 |
| 1558817759 | Carla Habrich | Counselor | 2915 Grant St, Omaha, NE 68111-3863 | 2016-08-28 |
| 1073976437 | Mark E Farrage | Pharmacist | 2915 Grant St, Omaha, NE 68111-3863 | 2016-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
| 1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
| 1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
| 1043639594 | Victoria Lynne Cassidy | Counselor | 4318 Fort St, Omaha, NE 68111 | 2014-04-14 |
| 1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
| 1992926497 | Vincent E Kershaw | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2007-05-01 |
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
| 1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| Find all providers in zip 68111 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1215488788 | Cancer Specialty Pharmacy LLC | Pharmacy | 17545 Gold Plz, Omaha, NE 68130-5602 | 2016-10-20 |
| 1437504669 | Brooksiderx LLC | Pharmacy | 11020 Q St, Omaha, NE 68137-3742 | 2016-04-25 |
| 1659633907 | Pharmacy Express Services Inc | Pharmacy | 349 N 78th St, Omaha, NE 68114-3640 | 2012-06-12 |
| 1104969872 | No Frills Pharmacy LLC | Pharmacy | 7646 Dodge St, Omaha, NE 68114-3635 | 2007-02-14 |
| 1295878965 | No Frills Pharmacy LLC | Pharmacy | 2011 N 156th St, Omaha, NE 68116-6465 | 2007-02-14 |
| 1518017656 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 12739 Q Street, Omaha, NE 68137-3211 | 2007-01-11 |
| 1710037841 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 620 N 114th St, Omaha, NE 68154-1571 | 2007-01-11 |
| 1851448898 | Bp Inc | Pharmacy | 15615 Pacific St Ste 8, Omaha, NE 68118-2118 | 2007-01-04 |
| 1699872416 | Occuvax LLC | Pharmacy | 13423 Lynam Dr, Omaha, NE 68138-4446 | 2006-09-20 |
| Find all providers in OMAHA | ||||
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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.