KOHLLS PHARMACY & HOMECARE INC (NPI# 1275525537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275525537 |
| Entity Type | Organization |
| Organization Name | KOHLLS PHARMACY & HOMECARE INC |
| Practice Address |
622 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 | 2005-08-22 |
| Last Update Date | 2017-10-24 |
| 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 |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
2239 | NE | Suppliers |
| N | 333600000X | Pharmacy | 2239 | NE | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
2239 | NE | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2239 | NE | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518017656 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 12739 Q Street, Omaha, NE 68137-3211 | 2007-01-11 |
| 1710037841 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 620 N 114th St, Omaha, NE 68154-1571 | 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 |
| 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 |
622 N 114TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-1571 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968465 | Madison County Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 5420 F St, Omaha, NE 68117-2815 | 2020-07-06 |
| 1972120004 | Physicians Clinic Inc | Durable Medical Equipment & Medical Supplies | 6700 Mercy Rd Ste 109, Omaha, NE 68106-2613 | 2020-07-06 |
| 1487129425 | Sakrx, LLC | Durable Medical Equipment & Medical Supplies | 2915 Leavenworth St, Omaha, NE 68105-2739 | 2018-10-05 |
| 1982187654 | Us Pharmacy | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 144, Omaha, NE 68114-3417 | 2018-09-10 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1265964886 | Personal Hme LLC | Durable Medical Equipment & Medical Supplies | 5346 S 136th St, 390081, Omaha, NE 68137-3001 | 2017-04-02 |
| 1306209127 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4001 Leavenworth St Ste 150a, Omaha, NE 68105-1026 | 2016-03-30 |
| 1194108688 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5115 S 111th St, Omaha, NE 68137-2341 | 2015-07-02 |
| 1982097804 | Miller Orthopaedic Affiliates PC | Durable Medical Equipment & Medical Supplies | 16221 Evans Plz, Omaha, NE 68116-6444 | 2015-03-17 |
| 1295132157 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 17500 Burke St Ste 100, Omaha, NE 68118-2244 | 2014-11-20 |
| 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.