Active NPI
Kohlls Pharmacy & Homecare Inc
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
National Provider Identifier
1053718528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.