Elkhorn RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

277 Issued in NE

Legal business name

ELKHORN RX INC

Doing business as

Elkhorn Drug

Practice address

20330 Veterans Dr
Elkhorn, NE 68022-6929

Phone

(402) 289-2576

Fax

(402) 289-2540

NPI assigned

Nov 3, 2006

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Janssen

Title

Owner

Phone

(402) 289-2576

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• ELKHORN DRUG Doing business as

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1922187699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680220880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20330 VETERANS DR",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680226929",
            "telephone_number": "402-289-2576",
            "fax_number": "402-289-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHORN RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-289-2576"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025449800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2815857",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2815857",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELKHORN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Eichler
• Lyla Hossam El-Refaie
• Elkhorn Chiropractic LLC
• Elkhorn Physical Therapy PC
• Elkhorn Public Schools
• George J Emodi, MD
• Courtney Lynn English
• Christopher C Erickson, D.P.T.
• Kimberly Ervin
• Daniela Escobar

• Community/Retail Pharmacy in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.