Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kohll's Pharmacy & Homecare

Organization Family Nurse Practitioner · NPI 1508175480

Kohll's Pharmacy & Homecare is a Family Nurse Practitioner in Omaha, Nebraska. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

624 N 114th St
Omaha, NE 68154
Phone: (402) 408-0012
Fax: (402) 408-0020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1508175480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Kohll — Owner · (402) 408-0012
Other names Preventative Medical Clinic
NPI enumeratedSeptember 27, 2010
Last updated in NPPESSeptember 27, 2010
Mailing address624 N. 114th St, Omaha, NE 68154

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