Healthcare Provider Details

I. General information

NPI: 1568557585
Provider Name (Legal Business Name): ONEILL FAMILY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 E DOUGLAS ST
ONEILL NE
68763-1829
US

IV. Provider business mailing address

317 E DOUGLAS ST
ONEILL NE
68763-1829
US

V. Phone/Fax

Practice location:
  • Phone: 402-336-2660
  • Fax: 402-336-2661
Mailing address:
  • Phone: 402-336-2660
  • Fax: 402-336-2661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3111
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KEVIN BARLOW
Title or Position: OWNER
Credential:
Phone: 402-336-2660