Kohlls Pharmacy & Homecare Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

2232 Issued in NE

Legal business name

KOHLLS PHARMACY & HOMECARE INC

Doing business as

Kohlls Pharmacy

Practice address

1413 S Washington St
Papillion, NE 68046-4178

Phone

(402) 331-8632

Fax

(402) 331-8695

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David G Kohll

Title

Owner

Phone

(402) 895-6812

Specialties & licenses 2

Addresses

Other names 1

• Kohlls Pharmacy Doing business as

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689666950",
    "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": "1413 S WASHINGTON ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464178",
            "telephone_number": "402-331-8632",
            "fax_number": "402-331-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLLS PHARMACY & HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOHLL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-895-6812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "EIN",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "2232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kohlls Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ai Lan D. Kobayashi, M.D.
• Amy Koch, PT, CMPT, COMT
• Amanda Marie Koffie
• Michael Koffie
• Kayla Kohl
• Kohlls Pharmacy & Homecare Inc. (Kohlls Pharmacy)
• Terry Kohr
• Athiang Alierdeng Kok
• Eileen Elizabeth Kolbo
• Hubertine Komlan

• Pharmacy in Papillion, NE
• Providers in Papillion, NE by specialty
• Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.