JKRXLLC (NPI# 1386283893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386283893 |
| Entity Type | Organization |
| Organization Name | JKRXLLC |
| Practice Address |
13110 W Dodge Rd Ste B Omaha NE 68154-2102 |
| Mailing Address |
16705 Ontario Plz Omaha NE 68130-2131 |
| Practice Telephone | 4024080015 |
| Practice Fax Number | 4024080020 |
| Mailing Telephone | 4023066503 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Authorized Official Name | JUSTIN M KOHLL (PRESIDENT) |
| Authorized Official Telephone | 4023066503 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | CASH ONLY | 762 | 01 |
| Other Name | Type Code |
|---|---|
| j kohll RX | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 620 N 114th St, Omaha, NE 681541571 | 4023066503 | 4024080015 |
| Street Address |
13110 W DODGE RD STE B |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194027177 | Vets First Choice | Pharmacy | 5013 S 110th St, Omaha, NE 68137-2376 | 2010-11-24 |
| 1407033855 | Kubat Custom Health Care Inc | Pharmacy | 4924 Center St Ste A1, Omaha, NE 68106-3219 | 2008-01-29 |
| 1902445414 | Pmcjk LLC | Pharmacy | 620 N 114th St, Omaha, NE 68154-1571 | 2019-12-31 |
| 1174839914 | Precision Compounding Pharmacy Inc | Pharmacy | 15722 W Center Rd, Omaha, NE 68130-1859 | 2010-08-30 |
| 1700115086 | Hyvacs, LLC | Pharmacy | 10004 S 152nd St, Suite C, Omaha, NE 68138-3930 | 2009-12-15 |
| 1558501924 | Kohll's Pharmacy & Homecare, Inc. | Pharmacy | 620 N 114th St, Omaha, NE 68154-1571 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388649 | Group Dpc, LLC | Pharmacy | 2206 Longo Dr Ste 209, Bellevue, NE 68005-2977 | 2020-02-17 |
| 1235783945 | Innovative Rx, P.C. | Pharmacy | 416 W 48th St Ste 20, Kearney, NE 68845-1315 | 2019-07-31 |
| 1174976427 | Jsk Dba Rxsolutions | Pharmacy | 1225 Golden Gate Dr, Papillion, NE 68046-2837 | 2016-07-21 |
| 1285035261 | Valley Apothecary | Pharmacy | 123 E Gardiner St, Suite A, Valley, NE 68064-9798 | 2014-09-10 |
| 1245564012 | Optum Infusion Services 302, LLC | Pharmacy | 8720 South 114th Street, Suite 106, La Vista, NE 68128 | 2009-09-28 |
| 1790925725 | Custom Rx, PC | Pharmacy | 540 S 8th Ave Ste B, Broken Bow, NE 68822-2456 | 2009-03-03 |
| 1730326844 | Silver Street Compounding Pharmacy, Inc. | Pharmacy | 1415 Silver St, Ashland, NE 68003-1845 | 2009-01-12 |
| 1144374679 | Tran Pharmacy Inc | Pharmacy | 2655 S 70th St, Ste C, Lincoln, NE 68506-2908 | 2007-01-22 |
| 1740743251 | One2one Ainsworth LLC | Pharmacy | 255 N Main St, Ainsworth, NE 69210-1300 | 2019-04-11 |
| 1629525704 | U-save Pharmacy Inc | Pharmacy | 13851 Guildford St Ste D, Waverly, NE 68462-1453 | 2016-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.