Jkrxllc
NPI 1386283893ActiveOrganization· Pharmacy, Compounding Pharmacy· Omaha, NE
Pharmacy, Compounding Pharmacy in Omaha, Nebraska, registered in NPPES in December 2019. The authorized official on file is Justin M. Kohll, R.PH, President. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1386283893 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2019 |
| Last updated in NPPES | Dec 31, 2019 |
| Certified by provider | Dec 31, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (NE) |
|---|
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