MEDICARE: OSIE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	2590	NE
2	3336L0003X	Long Term Care Pharmacy	2590	NE

General Provider Information

NPI Number	:	1558328997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSIE INC.

Provider Business Mailing Address
First Line	:	1221 N COTNER BLVD
Second Line	:	SUITE 1
City	:	LINCOLN
State	:	NE
Zip	:	68505-1879
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 N COTNER BLVD
Second Line	:	SUITE 1
City	:	LINCOLN
State	:	NE
Zip	:	68505-1879
Country	:	US
Telephone Number	:	402-466-7283
Fax Number	:	402-466-5387

Authorized Official
Title or Position	:	PRESIDENT/MANAGER
Name	:	MR. STEVAN ALAN OSENBAUGH
Credential	:	RP
Telephone Number	:	402-466-7283

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	09/11/2025

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Directions to “OSIE INC. ” Practice Location

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