Alegent Creighton Health, NPI 1023104999
Community/Retail Pharmacy in Omaha, NE, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1023104999
NPI Entity Type Organization
Provider Name Alegent Creighton Health
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 8613 N 30th St, Omaha, NE, US
Provider Mailing Address 8613 N 30th St, Omaha, NE, US, 681121852
Is Sole Proprietor? No
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Organization Official

Official Name Mike Tiesi
Official Position SENIOR DIRECTOR OF PHARMACY
Phone 402-343-4546

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 2416
License State NE
Description 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.

Business Address

Alegent Creighton Health
8613 N 30th St

Omaha, NE, US

Phone: 402-451-2125
Fax: 402-451-2401

Mailing Address

Alegent Creighton Health
8613 N 30th St
Omaha, NE, US
ZIP 681121852
Phone: 402-451-2125
Fax: 402-451-2401

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1523746 IA MEDICAID 05
2416 NE NEBRASKA COMMUNITY PHARMACY PERMIT 01
4622 IA IOWA LICENSE 01
10026519108 NE MEDICAID 05

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