STATE OF NEBRASKA DEPT OF ADMIN SERVICES (NPI# 1821009069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821009069 |
| Entity Type | Organization |
| Organization Name | STATE OF NEBRASKA DEPT OF ADMIN SERVICES |
| Other Organization Name | LINCOLN REGIONAL CENTER PHARMACY |
| Practice Address |
801 W Prospector Pl Lincoln NE 68522-1970 |
| Practice Telephone | 4024795343 |
| Practice Fax Number | 4024795438 |
| Mailing Telephone | 4024795343 |
| Mailing Fax Number | 4024795438 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | LACEY DETERDING (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 4024795343 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
2517 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2054523 | 01 |
| Other Name | Type Code |
|---|---|
| LINCOLN REGIONAL CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487772562 | State of Nebraska Dept of Admin Services | Pharmacy | 2620 W Van Dorn St, Lincoln, NE 68522-9288 | 2007-03-27 |
| 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 |
| 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 |
| Street Address |
801 W PROSPECTOR PL |
| City | LINCOLN |
| State | NE |
| Zip Code | 68522-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889468 | Megan Elizabeth Brandt | Physician Assistant | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2020-10-23 |
| 1851904478 | Najeeb Shekaib | Nurse Practitioner | 801 W Prospector Pl, Lincoln, NE 68522-2299 | 2020-08-24 |
| 1972148948 | Scott Loder | Peer Specialist | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2019-11-13 |
| 1083269567 | Dana Katherine Oneil | Nurse Practitioner | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2019-08-02 |
| 1104387851 | Erin Jane Dougherty | Physician Assistant | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2019-03-26 |
| 1871078501 | Andrew Corbin | Nurse Practitioner | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2018-09-27 |
| 1356704829 | Karlene Rose Greenleaf | Registered Nurse | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2016-04-01 |
| 1376944124 | Barry S Berumen | Nurse Practitioner | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2014-09-11 |
| 1629296413 | Bret Deardorff | Recreation Therapist | 801 W Prospector Pl, Box 94949, Lincoln, NE 68522-1970 | 2007-04-24 |
| 1598988396 | Courtney Ann Hodges | Recreation Therapist | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2007-04-10 |
| Find all providers in the same location | ||||
| 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 Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487772562 | State of Nebraska Dept of Admin Services | Pharmacy | 2620 W Van Dorn St, Lincoln, NE 68522-9288 | 2007-03-27 |
| 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 |
Please comment or provide details below to improve the information on STATE OF NEBRASKA DEPT OF ADMIN SERVICES.
| 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.