Provider Demographics
NPI:1093214256
Name:SILLMAN, CARA LYNDSAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:LYNDSAY
Last Name:SILLMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:LYNDSAY
Other - Last Name:VAN WINKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17702 PEBBLE CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1528
Mailing Address - Country:US
Mailing Address - Phone:402-250-5317
Mailing Address - Fax:
Practice Address - Street 1:18201 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2875
Practice Address - Country:US
Practice Address - Phone:402-330-3650
Practice Address - Fax:402-330-4503
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE12317OtherPHARMACIST LICENSE