Healthcare Provider Details

I. General information

NPI: 1699575225
Provider Name (Legal Business Name): ANGELA YELINEK HAWKINS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

989520 NEBRASKA MEDICAL CENTER OMAHA
OMAHA NE
68198-0001
US

IV. Provider business mailing address

12501 DEER CREEK DR
OMAHA NE
68142-1785
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-6887
  • Fax: 402-559-8715
Mailing address:
  • Phone: 402-740-0856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number11789
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: