Provider Demographics
NPI:1083581532
Name:NEIGHBORHOOD LTC PHARMACY INC
Entity type:Organization
Organization Name:NEIGHBORHOOD LTC PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-488-1184
Mailing Address - Street 1:1265 S COTNER BLVD STE 30
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4924
Mailing Address - Country:US
Mailing Address - Phone:402-310-8878
Mailing Address - Fax:
Practice Address - Street 1:101 WESTPARK DR STE 115
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1522
Practice Address - Country:US
Practice Address - Phone:629-312-2980
Practice Address - Fax:629-312-2981
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEIGHBORHOOD LTC PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy