NPIMap

Organization Active NPI

Kohll's Pharmacy & Homecare, Inc.

Doing business as Kohll's Pharmacy

  • Pharmacy
  • Omaha, NE
National Provider Identifier
1114077245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2234 Issued in NE
Legal business name
KOHLL'S PHARMACY & HOMECARE, INC.
Doing business as
Kohll's Pharmacy
Practice address
2923 Leavenworth St
Omaha, NE 68105-2739
Phone
(402) 342-6547
Fax
(402) 341-5207
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2234 NE Primary

Addresses

Primary practice location

2923 Leavenworth St
Omaha, NE 68105-2739

Mailing address

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

Other names 1

  • Kohll's Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kohlls Pharmacy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114077245",
    "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": "402-896-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052739",
            "telephone_number": "402-342-6547",
            "fax_number": "402-341-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLL'S PHARMACY & HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "2234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kohll's Pharmacy",
            "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 Aug 22, 2020; 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.