Healthcare Provider Details

I. General information

NPI: 1346167079
Provider Name (Legal Business Name): ONEILL FAMILY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 S THAYER ST
SPENCER NE
68777
US

IV. Provider business mailing address

317 E DOUGLAS ST
ONEILL NE
68763-1829
US

V. Phone/Fax

Practice location:
  • Phone: 402-500-7773
  • Fax: 402-500-7774
Mailing address:
  • Phone: 402-336-2660
  • Fax: 402-336-2661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

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