Nebraska Department of Health and Human Services, Division of Public Health, Licensure Unit

Please Note

We are a service company that can help you file with the Nebraska Department of Health and Human Services, Division of Public Health, Licensure Unit. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.

Contact Information

Mailing address:
PO Box 94986
Lincoln, NE 68509-4986

Phone: 402-471-2118
Fax: 402-471-8614

Web: Home Name search
Email: kathie.lueke@nebraska.gov

Licenses

We track the following licenses with the Nebraska Department of Health and Human Services, Division of Public Health, Licensure Unit in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

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Nebraska Community Pharmacy License

Agency:

Nebraska Department of Health and Human Services, Division of Public Health, Licensure Unit

Form:	Community Pharmacy Application
Instructions:	Mail to: Division of Public Health Licensure Unit P.O. Box 94986 Lincoln, NE 68509-4986
Filing Method:	Mail
Agency Fee:	$625
Turnaround:	5-6 weeks
Notes:	Nebraska does not require the registration of a state-controlled substance. Only federal registration is required. The application must be signed and dated by one of the following: The owner or owners if the applicant is a sole proprietorship, a partnership, or a limited liability company that has only one member Two of its members if the applicant is a limited liability company that has more than one member Two of its officers if the applicant is a corporation The head of the governmental unit having jurisdiction over the business if the applicant is a governmental unit If the applicant is not an entity described above, the owner or owners or, if there is no owner, the chief executive officer or comparable official.

Form:	Application for a Delegated Dispensing Permit for a Dialysis Drug or Device Distributor
Agency Fee:	$125

Form:	Application for a Drug Dispensing Permit Located in a Public Health Clinic
Agency Fee:	$125

Form:	Application for License to Operate a Long-Term Care Automated Pharmacy
Agency Fee:	$625

Agency:	Nebraska Department of Health and Human Services, Division of Public Health, Licensure Unit
Foreign Qualification is Prerequisite:	Yes
Registered Agent (Special Agency) Required?	No

Form:	Mail Service Pharmacy Application
Agency Fee:	$255
Notes:	To apply for a mail service pharmacy license, a facility must: Hold a pharmacy license or permit issued by and valid in the state in which the facility is located and from which such prescription drugs will be shipped, mailed, or otherwise delivered. Employ at least one pharmacist who works on-site at the facility and holds a current unrestricted Nebraska pharmacist license issued under the Uniform Credentialing Act who shall be responsible for compliance with the Mail Service Pharmacy Licensure Act. Please click here to be routed to the pharmacist page for applications, name/address change, or duplicate/reissuance of a pharmacist's Nebraska credential. If the Nebraska licensed pharmacist leaves employment at the facility, the facility must halt all shipments and deliveries to Nebraska patients until such time that the facility has completed an amendment form.
Required Attachments:	Copies of last two inspection reports from the state in which you are located (If the pharmacy has not had two inspections, please send a memo of explanation.) List of all pharmacists who work in the pharmacy and their license numbers in your state with expiration date A list of ownership and the names of members/managers/officers for any entities that hold ownership A letter of explanation addressed to the Nebraska Board of Pharmacy and copies of documentation of the action taken against the license(s) (if applicable)

Form:	Application for Registration as a Pharmacy Intern
Agency Fee:	$50

Form:	Application for a Pharmacist License
Agency Fee:	$178; prorated based on date of application.
Original Ink:	Not required

Filing Method:	Online
Agency Fee:	$178
Due:	Biennially by January 1st.
Original Ink:	Not required

Form:	Application for License to Operate a Remote Dispensing Pharmacy
Agency Fee:	$625

Form:	Application for a Wholesale Drug Distributor License
Agency Fee:	$550

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Nebraska Department of Health and Human Services, Division of Public Health, Licensure Unit

Please Note

Contact Information

Licenses

Nebraska Community Pharmacy License

Initial Registration

Registration Renewal

Nebraska Delegated Dispensing Permit - Dialysis Centers

Initial Registration

Registration Renewal

Nebraska Delegated Dispensing Permit - Public Health Clinics

Initial Registration

Registration Renewal

Nebraska Dispensing Practitioner License

Initial Registration

Registration Renewal

Nebraska Long-Term Care Automated Pharmacy License

Initial Registration

Registration Renewal

Nebraska Mail Service Pharmacy Permit

Initial Registration

Registration Renewal

Nebraska Pharmacist Intern Registration

Initial Registration

Renewal Not Required

Nebraska Pharmacist License

Initial Registration

Registration Renewal

Nebraska Pharmacy Technician Registration

Initial Registration

Registration Renewal

Nebraska Remote Dispensing Pharmacy License

Initial Registration

Registration Renewal

Nebraska Wholesale Drug Distributor License

Initial Registration

Registration Renewal

Nebraska Wholesale Drug Distributor License - Medical Gas Distributor

Initial Registration

Registration Renewal

Related Government Agencies