NPIMap

Organization Active NPI

JSK Drug LLC

  • Pharmacy
  • Papillion, NE
National Provider Identifier
1174976427
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
JSK DRUG LLC
Practice address
527 N. Washington Street
Papillion, NE 68046
Phone
(402) 502-6511
Fax
(866) 212-6778
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Mrs. Khatu Erlbacher, PHARM.D.
Title
Pic/Owner
Phone
(402) 200-9834

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

527 N. Washington Street
Papillion, NE 68046

Mailing address

527 N. Washington Street
Papillion, NE 68046
Phone (402) 502-6511

National Provider Directory

National Provider Directory
Tax ID family
JSK Drug LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1225 Golden Gate Dr
Papillion, NE 68046
Phone (402) 934-9033

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1174976427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N. WASHINGTON STREET",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "68046",
            "telephone_number": "402-502-6511",
            "fax_number": "866-212-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N. WASHINGTON STREET",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "68046",
            "telephone_number": "402-502-6511",
            "fax_number": "866-212-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSK DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "ERLBACHER",
        "authorized_official_first_name": "KHATU",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "402-200-9834",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.