FRED HENRY HAM (NPI# 1912244872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912244872 |
| Entity Type | Individual |
| Full Name | FRED HENRY HAM |
| Credential | RPH |
| Practice Address |
11120 Sahler St Omaha NE 68164-2319 |
| Practice Telephone | 4024961675 |
| Mailing Telephone | 4024961675 |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2013-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9210 | NE | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 28308 | MO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | PHARMACIST | 9210 | 01 |
| MO | PHARMACIST | 28308 | 01 |
| Street Address |
11120 SAHLER ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68164-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891035 | Kind Heart Caregivers | Home Health | 10840 Cottonwood Lane Apt 39, 10840 Cottonwood Lane Apt 39, Omaha, NE 68164 | 2019-06-24 |
| 1174082622 | Dana Thiele | Occupational Therapist | 11808 Grant Street, Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1346709896 | Kelsey Melsheimer | Occupational Therapist | 11808 Grant St Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1326579202 | Regina Marie Brant | Registered Nurse | 11422 Kansas Circle, Omaha, NE 68164 | 2017-03-23 |
| 1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
| 1679966543 | Paige Latino | Physical Therapist | 11808 Grant St, Suite 100, Omaha, NE 68164 | 2015-03-16 |
| 1053716753 | John Bigando | Pharmacist | 13250 W. Maple Road, Omaha, NE 68164 | 2014-10-24 |
| 1063813582 | Yusuke Tanaka | Specialist/Technologist | 10857 Arlington Pz, #1520, Omaha, NE 68164 | 2014-09-16 |
| 1083015515 | Hyunjae Jeon | Specialist/Technologist | 10857 Arlington Plaza, Apt. 1520, Omaha, NE 68164 | 2014-09-16 |
| 1942630389 | Stephanie Nicole Rupp | Dietitian, Registered | 10808 Fort Street, Omaha, NE 68164 | 2013-11-21 |
| Find all providers in zip 68164 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365249 | Kenneth Fuchtman | Pharmacist | 4969 S 174th Ave, Omaha, NE 68135-3463 | 2020-10-30 |
| 1073120796 | Derek Eugene Popken | Pharmacist | Nebraska Medicine, 987400 Nebraska Medical Center, Omaha, NE 68198-7400 | 2020-09-27 |
| 1003441874 | Riddhi Prakashbhai | Pharmacist | 4578 S 60th St, Omaha, NE 68117-1217 | 2020-03-11 |
| 1083249569 | Katrina Johanna Keebler | Pharmacist | 8315 W Center Rd, Omaha, NE 68124-3111 | 2020-03-05 |
| 1578103644 | Nathan L Suck | Pharmacist | 2115 S 61st St, Omaha, NE 68106-2129 | 2020-01-07 |
| 1427696152 | Suzanne Dee Anderson | Pharmacist | 16101 Evans St Ste 101, Omaha, NE 68116-6447 | 2019-12-12 |
| 1073078713 | Brooke Dee Hayes | Pharmacist | 10802 Farnam Dr Ste 100, Omaha, NE 68154-3200 | 2019-02-06 |
| 1124596812 | Neveen Eed | Pharmacist | 4216 N 146th Plz Apt 307, Omaha, NE 68116-4397 | 2018-11-11 |
| 1619450293 | James Robert Mcclane | Pharmacist | 17461 O St, Omaha, NE 68135-3445 | 2018-09-10 |
| 1578054482 | Michael G Heskin | Pharmacist | 4509 S 143rd St Ste 4, Omaha, NE 68137-4521 | 2018-05-25 |
| 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.