Healthcare Provider Details

I. General information

NPI: 1003100256
Provider Name (Legal Business Name): JANET ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 01/25/2026
Certification Date: 01/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7202 N 30TH ST
OMAHA NE
68112-2819
US

IV. Provider business mailing address

7202 N 30TH ST
OMAHA NE
68112-2819
US

V. Phone/Fax

Practice location:
  • Phone: 402-457-5615
  • Fax:
Mailing address:
  • Phone: 402-457-5615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17102
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number043141
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: