Individual provider · Type 1 NPI

Bradley Michael Sundsboe

Pharmacist · Omaha, NE

NPI number 1811448756 Active

Practice location

240 S 77th St
Omaha, NE 68114-4579

Fax (402) 397-0211

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X15313 (NE)
Pharmacist 183500000X22832 (IA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1811448756

Bradley Michael Sundsboe's National Provider Identifier is 1811448756, issued on Oct 15, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Omaha, NE. The record was last updated on Sep 18, 2026.