NPIMap

Organization Active NPI

Sakrx, LLC

Doing business as Kohll's RX

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
National Provider Identifier
1104391150
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SAKRX, LLC
Doing business as
Kohll's RX
Practice address
5002 Dodge St
Omaha, NE 68132-2906
Phone
(402) 553-8901
NPI assigned
Oct 5, 2018
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Mr. Peter E Jensen
Title
Cfo
Phone
(402) 973-1915

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

5002 Dodge St
Omaha, NE 68132-2906

Mailing address

12741 Q St
Omaha, NE 68137-3211
Phone (402) 895-6812

Other names 1

  • Kohll's RX Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190524000468 NE Part B Supplier - Mass Immunization (Roster Biller Only) 4789934878 6 other NPIs on this enrollment
Practice locations: Omaha, NE; Lincoln, NE
O20190524000810 NE DME Supplier - PharmacyDME Supplier - Medical Supply Company With Orthotic-Prosthetic 4789934878 Practice locations: Omaha, NE

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Sakrx, LLC

    dba Kohll's RX

    • Durable Medical Equipment & Medical Supplies
    • Lincoln, NE
    • NPI 1164997102

    O20190524000468

    Same enrollment
  • Sakrx, LLC

    dba Kohll's RX

    • Durable Medical Equipment & Medical Supplies
    • Omaha, NE
    • NPI 1487129425

    O20190524000468

    Same enrollment
  • Sakrx, LLC

    dba Kohll's RX

    • Durable Medical Equipment & Medical Supplies
    • Omaha, NE
    • NPI 1720553761

    O20190524000468

    Same enrollment

National Provider Directory

National Provider Directory
Tax ID family
Sakrx LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

5002 Dodge St
Omaha, NE 68132
Phone (402) 553-8901

5108 L St
Omaha, NE 68117
Phone (402) 733-2001

1413 S Washington St
Ste 125
Papillion, NE 68046
Phone (402) 331-8639

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1104391150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 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": "5002 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322906",
            "telephone_number": "402-553-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKRX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-973-1915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kohll's RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kohll's RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.