KOHLLS PHARMACY & HOMECARE INC (NPI# 1710037841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710037841 |
| Entity Type | Organization |
| Organization Name | KOHLLS PHARMACY & HOMECARE INC |
| Other Organization Name | KOHLLS PHARMACY |
| Practice Address |
620 N 114th St Omaha NE 68154-1571 |
| Mailing Address |
12759 Q St Omaha NE 68137-3211 |
| Practice Telephone | 4024080012 |
| Practice Fax Number | 4024080020 |
| Mailing Telephone | 4028956812 |
| Mailing Fax Number | 4028957655 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-02-10 |
| Authorized Official Name | MR. DAVID GEOFFREY KOHLL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4028956812 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 2239 | NE | Suppliers |
| Other Name | Type Code |
|---|---|
| Kohlls Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518017656 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 12739 Q Street, Omaha, NE 68137-3211 | 2007-01-11 |
| 1871585133 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 5110 L St, Omaha, NE 68117-1330 | 2005-08-22 |
| 1609868967 | Kohlls Pharmacy & Homecare Inc | Clinic/Center | 12739 Q St, Omaha, NE 68137-3211 | 2005-08-22 |
| 1164414413 | Kohlls Pharmacy & Homecare Inc | Durable Medical Equipment & Medical Supplies | 5000 Dodge St, Omaha, NE 68132-2920 | 2005-08-22 |
| 1275525537 | Kohlls Pharmacy & Homecare Inc | Durable Medical Equipment & Medical Supplies | 622 N 114th St, Omaha, NE 68154-1571 | 2005-08-22 |
| 1386636652 | Kohlls Pharmacy & Homecare Inc | Durable Medical Equipment & Medical Supplies | 2923 Leavenworth St, Omaha, NE 68105-2739 | 2005-08-22 |
| 1689666950 | Kohlls Pharmacy & Homecare Inc | Durable Medical Equipment & Medical Supplies | 1413 S Washington St, Papillion, NE 68046-4178 | 2005-08-22 |
| 1053718528 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 800 N 27th St, Lincoln, NE 68503-2523 | 2014-12-01 |
| 1760888556 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 800 N 27th St, Lincoln, NE 68503-2523 | 2014-11-06 |
| 1366733669 | Kohlls Pharmacy & Homecare Inc | Durable Medical Equipment & Medical Supplies | 401 Main St, Malvern, IA 51551-8137 | 2011-04-21 |
| Street Address |
620 N 114TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902445414 | Pmcjk LLC | Pharmacy | 620 N 114th St, Omaha, NE 68154-1571 | 2019-12-31 |
| 1558501924 | Kohll's Pharmacy & Homecare, Inc. | Pharmacy | 620 N 114th St, Omaha, NE 68154-1571 | 2009-02-25 |
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1215488788 | Cancer Specialty Pharmacy LLC | Pharmacy | 17545 Gold Plz, Omaha, NE 68130-5602 | 2016-10-20 |
| 1437504669 | Brooksiderx LLC | Pharmacy | 11020 Q St, Omaha, NE 68137-3742 | 2016-04-25 |
| 1659633907 | Pharmacy Express Services Inc | Pharmacy | 349 N 78th St, Omaha, NE 68114-3640 | 2012-06-12 |
| 1104969872 | No Frills Pharmacy LLC | Pharmacy | 7646 Dodge St, Omaha, NE 68114-3635 | 2007-02-14 |
| 1295878965 | No Frills Pharmacy LLC | Pharmacy | 2011 N 156th St, Omaha, NE 68116-6465 | 2007-02-14 |
| 1518017656 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 12739 Q Street, Omaha, NE 68137-3211 | 2007-01-11 |
| 1851448898 | Bp Inc | Pharmacy | 15615 Pacific St Ste 8, Omaha, NE 68118-2118 | 2007-01-04 |
| 1699872416 | Occuvax LLC | Pharmacy | 13423 Lynam Dr, Omaha, NE 68138-4446 | 2006-09-20 |
| 1992713481 | Diabetes Supply Center of The Midlands Pharmacy | Pharmacy | 2974 S 84th St, Omaha, NE 68124-3213 | 2006-08-03 |
| Find all providers in OMAHA | ||||
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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.