KOHLLS PHARMACY & HOMECARE INC (NPI# 1386636652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386636652 |
| Entity Type | Organization |
| Organization Name | KOHLLS PHARMACY & HOMECARE INC |
| Other Organization Name | KOHLLS PHARMACY |
| Practice Address |
2923 Leavenworth St Omaha NE 68105-2739 |
| Mailing Address |
12759 Q St Omaha NE 68137-3211 |
| Practice Telephone | 4023426547 |
| Practice Fax Number | 4023415207 |
| Mailing Telephone | 4028956812 |
| Mailing Fax Number | 4028957655 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2009-01-23 |
| Authorized Official Name | MR. DAVID G KOHLL (OWNER) |
| Authorized Official Telephone | 4028956812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 2234 | 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 |
| 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 |
| 1275525537 | Kohlls Pharmacy & Homecare Inc | Durable Medical Equipment & Medical Supplies | 622 N 114th St, Omaha, NE 68154-1571 | 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 |
2923 LEAVENWORTH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679054308 | Dylan Tyler Sherrill | Pharmacist | 2923 Leavenworth St, Omaha, NE 68105-2739 | 2018-08-21 |
| 1114077245 | Kohll's Pharmacy & Homecare, Inc. | Pharmacy | 2923 Leavenworth St, Omaha, NE 68105-2739 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| 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 |
| 1710037841 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 620 N 114th St, Omaha, NE 68154-1571 | 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 |
| 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.