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FRED LEROY HEALTH AND WELLNESS CENTER PHARMACY
NPI 1760778385
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Omaha, NE

Active since June 22, 2011
2602 J ST, FRED LEROY HEALTH AND WELLNESS CENTER PHARMACY, OMAHA, NE 68107(402) 734-5275(402) 733-3487 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fred Leroy Health And Wellness Center Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED LEROY HEALTH AND WELLNESS CENTER PHARMACY (NPI 1760778385) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Omaha, Nebraska and active in the NPI registry since June 2011. The organization lists Donald Lee, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1760778385
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NamePONCA TRIBE OF NEBRASKA
Location Address2602 J ST, FRED LEROY HEALTH AND WELLNESS CENTER PHARMACYOmaha, NE 68107-1643
Mailing Address2602 J St, Fred Leroy Health And Wellness Center PharmacyOmaha, NE 68107-1643 · (402) 734-5275 · Fax (402) 733-3487
Phone(402) 734-5275
Fax(402) 733-3487
Organization SubpartYes
Authorized OfficialDonald LeeChief Executive Officer · (402) 734-5275
Enumeration DateJune 22, 2011
✔ NPI 1760778385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
License✔ Licensed in NE · 2884
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
2602 J ST, Omaha, NE 68107
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Other Names 1

Doing Business AsFred Leroy Health And Wellness Center Pharmacy

Other Identifiers 2

Other2884NE · Pharmacy License Number
Other2817964Ncpdp

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHEILA ANN SHELTON DENTAL ASSISTANT
Dental Assistant
2602 J ST
OMAHA, NE 68107
Douglas County (402) 733-1325
RACHAEL M BOGACZ LICSW, LIMHP
Social Worker (Clinical)
2602 J ST
OMAHA, NE 68107
Douglas County (402) 733-3612
DR. SANDI S NAHRIRI DNP, APRN, FP-C
Nurse Practitioner (Family)
2602 J ST
OMAHA, NE 68107
Douglas County (402) 733-3612
CHRISTIAN PAUL MORATH R.P.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2602 J ST
OMAHA, NE 68107
Douglas County (402) 734-5275
ELAINE CONNELLY PMHP
Counselor (Mental Health)
2602 J ST
OMAHA, NE 68107
Douglas County (402) 733-3487
MS. JOANNE KALEILEHUA GILLEY RDH
Dental Hygienist
2602 J ST
OMAHA, NE 68107
Douglas County (402) 733-1325
PONCA TRIBE OF NEBRASKA
Clinic/Center (Dental)
2602 J ST
OMAHA, NE 68107
Douglas County (402) 733-3612
JAMI R KELLY R.D.H.
Dental Hygienist
2602 J ST
OMAHA, NE 68107
Douglas County (402) 733-1325

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponca Tribe Of Nebraska's NPI number?

The NPI number for Ponca Tribe Of Nebraska is 1760778385. It was assigned to this organization in the NPPES registry on June 22, 2011. The provider is doing business as Fred Leroy Health And Wellness Center Pharmacy.

Where is Ponca Tribe Of Nebraska located?

Ponca Tribe Of Nebraska is located at 2602 J St Fred Leroy Health And Wellness Center Pharmacy, Omaha, NE 68107. The listed phone number is (402) 734-5275.

What is Ponca Tribe Of Nebraska's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

When was this NPI record last updated?

The NPPES record for Ponca Tribe Of Nebraska was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.