JKRXLLC
NPI 1386283893
Pharmacy - Compounding Pharmacy in Omaha, NE

NPI Status: Active since December 31, 2019

Contact Information

13110 W DODGE RD STE B
OMAHA, NE
ZIP 68154
Phone: (402) 408-0015
Fax: (402) 408-0020

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  • Organization
  • Pharmacy
  • Compounding Pharmacy

About JKRXLLC

This page provides the complete NPI Profile along with additional information for Jkrxllc, a provider established in Omaha, Nebraska operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1386283893 assigned on December 2019. The practitioner's primary taxonomy code is 3336C0004X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Justin M Kohll R.ph (President)

NPI
1386283893
Provider Name
JKRXLLC
Entity Type
Organization
Location Address
13110 W DODGE RD STE B OMAHA, NE 68154
Location Phone
(402) 408-0015
Location Fax
(402) 408-0020
Mailing Address
16705 ONTARIO PLZ OMAHA, NE 68130
Mailing Phone
(402) 306-6503
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-31-2019
Last Update Date
12-31-2019
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Secondary Locations

  • 620 N 114th St
    Omaha, NE 68154
    (402) 306-6503

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
Taxonomy Description
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUSTIN M KOHLL R.PH

Authorized Official Title
PRESIDENT
Authorized Official Phone
(402) 306-6503

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
762OTHER (01)NECASH ONLY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386283893
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166486818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 4 + 8 + 6 + 8 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1386283893 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386283893, enumerated in the NPI registry as an "organization" on December 31, 2019

The provider is located at 13110 W Dodge Rd Ste B Omaha, Ne 68154 and the phone number is (402) 408-0015

This medical organization specializes in Pharmacy with taxonomy code 3336C0004X with a focus in Compounding Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 31, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.