Organization Active NPI

Kecrx LLC

  • Long Term Care Pharmacy
  • Omaha, NE
National Provider Identifier
1831711050
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KECRX LLC
Practice address
12767 Q St
Omaha, NE 68137-3211
Phone
(402) 895-7037
Fax
(402) 895-7655
NPI assigned
May 11, 2020
Organization subpart
Yes
Parent organization
SAKRX, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Mr. Peter E Jensen
Title
Cfo
Phone
(402) 973-1915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

12767 Q St
Omaha, NE 68137-3211

Mailing address

12741 Q St
Omaha, NE 68137-3211
Phone (402) 973-1914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201113002450 NE Part B Supplier - Mass Immunization (Roster Biller Only) 5799195178 Practice locations: Omaha, NE

National Provider Directory

National Provider Directory
Part of
Sakrx LLC

Locations

12767 Q St
Omaha, NE 68137
Phone (402) 895-7037

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1831711050",
    "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": "402-973-1914",
            "fax_number": "402-895-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12767 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373211",
            "telephone_number": "402-895-7037",
            "fax_number": "402-895-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KECRX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAKRX, LLC",
        "enumeration_date": "2020-05-11",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-973-1915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "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 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.

Verify at the official NPI Registry.