Healthcare Provider Details

I. General information

NPI: 1548189681
Provider Name (Legal Business Name): MADISON SOMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42ND AND EMILE
OMAHA NE
68198-0001
US

IV. Provider business mailing address

12023 PARKER PLZ APT 302
OMAHA NE
68154-4617
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19006
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: