IndividualActive
Jesse Thompson, PHARMD
NPI 1053946111 · Pharmacist · La Vista, NE
Jesse Thompson, PHARMD is a Pharmacist provider in La Vista, NE (NPI 1053946111).
Provider details
- NPI number
- 1053946111
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14316 (NE)
Practice location
6901 S 84th St
La Vista, NE 68128-2127
Phone: (402) 516-8516
Street-level locationGet directions
Mailing address
6901 S 84th St
La Vista, NE 68128-2127
Registry dates
- Enumerated
- 2020-03-10
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.