National Provider Identifier Database

ALEGENT CREIGHTON HEALTH
Community/Retail Pharmacy

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.


Contact Information

ALEGENT CREIGHTON HEALTH
16909 LAKESIDE HILLS CT
STE 107
OMAHA, NE68130-4664
Phone: 402-758-5006
Fax: 402-758-5094
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Clinic Pharmacy 3336C0002X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for ALEGENT CREIGHTON HEALTH

NPI Number 1780753632
Legal business name
LBN
ALEGENT CREIGHTON HEALTH
Authorized official MATTHEW HAZEN - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/07/2006
Last updated 04/27/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NE License #: 2661
  • NE Medicaid: 10026519109
  • Other: 2814879 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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