=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699575225
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANGELA YELINEK HAWKINS PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2025
-----------------------------------------------------
Last Update Date | 03/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 989520 NEBRASKA MEDICAL CENTER OMAHA
-----------------------------------------------------
City | OMAHA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68198-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-559-6887
-----------------------------------------------------
Fax | 402-559-8715
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12501 DEER CREEK DR
-----------------------------------------------------
City | OMAHA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68142-1785
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-740-0856
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1835P2201X
-----------------------------------------------------
Taxonomy Name | Ambulatory Care Pharmacist
-----------------------------------------------------
License Number | 11789
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------