Ponca Tribe Of Nebraska, NPI 1760778385
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Omaha, NE, US
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 | 1760778385 |
| NPI Entity Type | Organization |
| Provider Name |
Ponca Tribe Of Nebraska
Doing Business As |
| Subpart of Organization | Ponca Tribe Of Nebraska |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2602 J St, Fred Leroy Health And Wellness Center Pharmacy, Omaha, NE, US |
| Provider Mailing Address | 2602 J St, Fred Leroy Health And Wellness Center Pharmacy, Omaha, NE, US, 681071643 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. MS Donald Lee |
| Official Position | CHIEF EXECUTIVE OFFICER |
| Phone | 402-734-5275 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Classification |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Group | |
| License No. | 2884 |
| License State | NE |
| Description | An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 2884 | NE | PHARMACY LICENSE NUMBER | 01 |
| 2817964 | NCPDP | 01 |
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|---|---|---|---|
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OTR/L Antonia D Longenecker Individual |
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MRS. Kelsey Graham Individual |
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Tyra Barger Individual |
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MRS. Shannon Mccorkle Individual |
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MRS. Erica Kinne Individual |
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MRS. Raven Rowe Individual |
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