Healthcare Provider Details

I. General information

NPI: 1598439911
Provider Name (Legal Business Name): CHELSEA-VEA M CIPRIANO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHELSEA V CIPRIANO

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 08/09/2021
Certification Date: 08/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S 77TH ST
OMAHA NE
68114-4579
US

IV. Provider business mailing address

5152 S 99TH CT APT 12
OMAHA NE
68127-2181
US

V. Phone/Fax

Practice location:
  • Phone: 866-716-7251
  • Fax:
Mailing address:
  • Phone: 402-651-5958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17186
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: