Active NPI
Sakrx, LLC
Doing business as Kohll's RX
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SAKRX, LLC
- Doing business as
- Kohll's RX
- Practice address
- 3333 O St
Lincoln, NE 68510-1547 - Phone
- (402) 476-3342
- Fax
- (402) 476-3586
- NPI assigned
- Oct 5, 2018
- Last updated
- Mar 10, 2026
- 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 G. Kohll
- Title
- Business Development
- Phone
- (402) 895-6812
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
3333 O St
Lincoln, NE 68510-1547
Mailing address
12741 Q St
Omaha, NE 68137-3211
Phone (402) 895-6812
Other names 1
- Kohll's RX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190508000627 | NE | DME Supplier - Pharmacy | 4789934878 | Practice locations: Lincoln, NE |
| O20190524000468 | NE | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789934878 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Omaha, NE; Lincoln, NE |
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Kohll's RX
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1104391150
4789934878
-
dba Kohll's RX
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1487129425
4789934878
-
dba Kohll's RX
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1720553761
4789934878
-
dba Kohll's RX
- Durable Medical Equipment & Medical Supplies
- Malvern, IA
- NPI 1154896199
4789934878
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Kohll's RX
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1104391150
O20190524000468
-
dba Kohll's RX
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1487129425
O20190524000468
-
dba Kohll's RX
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1720553761
O20190524000468
National Provider Directory
National Provider Directory- Tax ID family
- Sakrx LLC
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Omaha, NE
- NPI 1811510589
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": "1773100800000",
"number": "1164997102",
"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": "3333 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685101547",
"telephone_number": "402-476-3342",
"fax_number": "402-476-3586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAKRX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-05",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A",
"authorized_official_last_name": "KOHLL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "BUSINESS DEVELOPMENT",
"authorized_official_telephone_number": "402-895-6812",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"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 Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.