Healthcare Provider Details

I. General information

NPI: 1710893169
Provider Name (Legal Business Name): RACHEL VITER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20201 MANDERSON ST
ELKHORN NE
68022-3234
US

IV. Provider business mailing address

8520 N 173RD ST
BENNINGTON NE
68007-5777
US

V. Phone/Fax

Practice location:
  • Phone: 402-289-0520
  • Fax: 402-289-2838
Mailing address:
  • Phone: 402-289-0520
  • Fax: 402-289-2838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19113
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: