Healthcare Provider Details

I. General information

NPI: 1477473312
Provider Name (Legal Business Name): DR. ABBY QUADHAMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 N ERIE ST
LEXINGTON NE
68850-1560
US

IV. Provider business mailing address

2804 M AVE
KEARNEY NE
68847-4717
US

V. Phone/Fax

Practice location:
  • Phone: 308-324-8597
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19035
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: