Organization Active NPI

Kohlls Pharmacy & Homecare Inc

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
National Provider Identifier
1053718528
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KOHLLS PHARMACY & HOMECARE INC
Practice address
800 N 27TH St
Lincoln, NE 68503-2523
Phone
(402) 476-3341
Fax
(402) 476-3586
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Geoffrey Kohll, PHARM D
Title
Owner
Phone
(402) 895-6812

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

800 N 27TH St
Lincoln, NE 68503-2523

Mailing address

12759 Q St
Omaha, NE 68137-3211
Phone (402) 895-6812

Other names 1

  • KOHLLS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

622 N 114th St
Omaha, NE 68154
Phone (402) 408-0012

3427 S 84th St
Omaha, NE 68124
Phone (402) 393-1404

620 N 114th St
Omaha, NE 68154
Phone (402) 306-6503

617 N 114th St
Omaha, NE 68154
Phone (402) 408-0012

5000 Dodge St
Omaha, NE 68132
Phone (402) 553-8900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1053718528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12759 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373211",
            "telephone_number": "402-895-6812",
            "fax_number": "402-895-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685032523",
            "telephone_number": "402-476-3341",
            "fax_number": "402-476-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLLS PHARMACY & HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "KOHLL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GEOFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-895-6812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOHLLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.