NPI Code Detail JSON Logo

1538348842 NPI number — EXTENDCARE THE PHARMACY INC

NPI Number: 1538348842
Health Care Provider/Practitioner: EXTENDCARE THE PHARMACY INC

Information about “1538348842” NPI (EXTENDCARE THE PHARMACY INC) exists in 1538348842 in HTML format HTML  |  1538348842 in plain Text format TXT  |  1538348842 in PDF (Portable Document Format) PDF  |  1538348842 in an XML format XML  formats.

NPI Number : 1538348842 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538348842",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EXTENDCARE THE PHARMACY INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1219 N COTNER BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68505-1837",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-466-6083",
    "MailingAddressFaxNumber": "402-466-6086",
    "FirstLinePracticeLocationAddress": "1219 N COTNER BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68505-1837",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-466-6083",
    "PracticeLocationAddressFaxNumber": "402-466-6086",
    "EnumerationDate": "11/02/2007",
    "LastUpdateDate": "10/19/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OSENBAUGH",
    "AuthorizedOfficialFirstName": "STEVAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "402-466-7283",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": "2978",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.