Active NPI
Sakrx, LLC
Doing business as Kohll's RX
- Pharmacy
- Omaha, NE
National Provider Identifier
1750856704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- SAKRX, LLC
- Doing business as
- Kohll's RX
- Practice address
- 5002 Dodge St
Omaha, NE 68132-2906 - Phone
- (402) 553-8901
- Fax
- (402) 895-7655
- NPI assigned
- Oct 5, 2018
- Last updated
- May 9, 2025
- 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. Peter Jensen
- Title
- Cfo
- Phone
- (402) 973-1915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
5002 Dodge St
Omaha, NE 68132-2906
Mailing address
12741 Q St
Omaha, NE 68137-3211
Phone (402) 895-6812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026752900 | Medicaid | NE |
Other names 1
- Kohll's RX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210304000273 | NE | Part B Supplier - Independent Clinical Laboratory | 4789934878 | Practice locations: Omaha, 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
- Lincoln, NE
- NPI 1164997102
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
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": "1746748800000",
"number": "1750856704",
"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": "5002 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681322906",
"telephone_number": "402-553-8901",
"fax_number": "402-895-7655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAKRX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-05",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "402-973-1915",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026752900",
"state": "NE"
}
],
"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 Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.