Healthcare Provider Details

I. General information

NPI: 1558276238
Provider Name (Legal Business Name): ALEGENT CREIGHTON HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 CUMING ST STE 201
OMAHA NE
68131-1604
US

IV. Provider business mailing address

2412 CUMING ST STE 201
OMAHA NE
68131-1604
US

V. Phone/Fax

Practice location:
  • Phone: 402-449-4560
  • Fax: 402-449-4531
Mailing address:
  • Phone: 402-449-4560
  • Fax: 402-449-4531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANN B. THOMPSON
Title or Position: PHARMACY OPERATIONS MANAGER
Credential:
Phone: 402-717-2320