KOHLL'S PHARMACY & HOMECARE (NPI# 1285921494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285921494 |
| Entity Type | Organization |
| Organization Name | KOHLL'S PHARMACY & HOMECARE |
| Other Organization Name | KOHLL'S PHARMACY |
| Practice Address |
410 Main St Malvern IA 51551-8033 |
| Practice Telephone | 7126249050 |
| Practice Fax Number | 7126249042 |
| Mailing Telephone | 7126249050 |
| Mailing Fax Number | 7126249042 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |
| Authorized Official Name | DAVID G KOHLL (OWNER) |
| Authorized Official Telephone | 4028956812 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| KOHLL'S PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508175480 | Kohll's Pharmacy & Homecare | Nurse Practitioner | 624 N. 114th St, Omaha, NE 68154 | 2010-09-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KOHLL'S PHARMACY & HOMECARE INC. | 12759 Q St, Omaha, NE 68137 |
| Iowa Business Entities | KOHLL'S PHARMACY & HOMECARE, INC. | 12759 Q St, Omaha, NE 68137 |
| Vermont Business Registrations | KOHLL'S PHARMACY & HOMECARE, INC. | 12759 Q St, Omaha, NE 68137 |
| Oregon Corporations, Companies and Business Names | KOHLL'S PHARMACY & HOMECARE, INC. | 12759 Q St, Omaha, NE 68137 |
| Connecticut Business Registrations | KOHLL'S PHARMACY & HOMECARE, INC. | 12759 Q St, Omaha, NE 68137 |
| Indiana Business Entities | KOHLL'S PHARMACY & HOMECARE, INC. | 12759 Q St, Omaha, NE 68137 |
| Street Address |
410 MAIN ST |
| City | MALVERN |
| State | IA |
| Zip Code | 51551-8033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790832038 | Malvern C.s.d. | Local Education Agency (LEA) | 1505 E. 15th St., Malvern, IA 51551 | 2007-01-05 |
| 1386730109 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 107 East 4th Street, Malvern, IA 51551 | 2006-10-05 |
| 1104989714 | Collins Drug | Pharmacy | 407 Main St, Malvern, IA 51551 | 2006-12-18 |
| 1285723163 | Malvern Volunteer Rescue, Inc. | Ambulance | 110 W 5th Street, Malvern, IA 51551-0058 | 2006-10-11 |
| 1619932662 | Manor of Malvern Inc. | Skilled Nursing Facility | 903 2nd Ave, Malvern, IA 51551-4059 | 2006-04-20 |
| 1588991301 | Morse Healthcare Services Inc. | Skilled Nursing Facility | 903 2nd Ave, Malvern, IA 51551-4059 | 2009-11-16 |
| 1033594551 | Kaleb Richter | Physical Therapy Assistant | 204 E 8th St, Malvern, IA 51551-4062 | 2015-07-26 |
| 1942513379 | Amberly Wiese | Occupational Therapist | 305 E 1st St, Malvern, IA 51551-8008 | 2010-07-14 |
| 1063063014 | Back To Life LLC | Home Health | 305 E 1st St, Malvern, IA 51551-8008 | 2019-09-21 |
| 1336252097 | Thomas M Baer | Family Medicine | 307 Main St, Malvern, IA 51551-8032 | 2006-08-16 |
| Find all providers in zip 51551 | ||||
| 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 |
|---|---|---|---|---|
| 1205394749 | Cerner Health Connections, Inc | Pharmacy | 51 Valley Stream Pkwy, Malvern, PA 19355-1406 | 2019-03-04 |
| 1558689380 | Wegmans Food Markets, Inc. | Pharmacy | 50 Foundry Way, Att: Pharmacy Manager, Malvern, PA 19355 | 2010-05-04 |
| 1942384086 | S&w Pharmacy, Inc. | Pharmacy | 437 E Page Ave, Malvern, AR 72104-4249 | 2006-10-25 |
| 1396715777 | Deep South Home Medical Equipment, Inc | Pharmacy | 229 Sunrise Lane, Malvern, AL 36349 | 2006-01-26 |
| 1073088019 | Sakrx, LLC | Pharmacy | 403 Main St, Malvern, IA 51551-8137 | 2018-10-05 |
| 1225520653 | Jlgrx LLC | Pharmacy | 50 Three Tun Rd Ste 2, Malvern, PA 19355-3988 | 2018-06-01 |
| 1194941948 | Youngs Medicare Pharmacy | Pharmacy | 1304 S Main St, Malvern, AR 72104-5228 | 2007-04-18 |
| 1104989714 | Collins Drug | Pharmacy | 407 Main St, Malvern, IA 51551 | 2006-12-18 |
| 1801985452 | Millers Drug Store Inc | Pharmacy | 231 S Main St, Malvern, AR 72104-3736 | 2006-10-12 |
| 1871569129 | Deep South Home Medical Equipment Inc | Pharmacy | 229 Sunrise Lane, Malvern, AL 36349 | 2006-02-27 |
| Find all providers in MALVERN | ||||
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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.