NPIMap

Organization Active NPI

Kohlls Pharmacy & Homecare

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
National Provider Identifier
1215318910
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KOHLLS PHARMACY & HOMECARE
Practice address
5110 L St
Omaha, NE 68117-1330
Phone
(402) 733-2000
NPI assigned
Jun 18, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Meredith Cernik
Title
A/R Representative
Phone
(402) 895-6812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5110 L St
Omaha, NE 68117-1330

Mailing address

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

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": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1215318910",
    "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": "5110 L ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681171330",
            "telephone_number": "402-733-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLLS PHARMACY & HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "CERNIK",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "A/R REPRESENTATIVE",
        "authorized_official_telephone_number": "402-895-6812"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 18, 2015; 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.