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

Pmcjk LLC

Organization Compounding Pharmacy · NPI 1902445414

Pmcjk LLC is a Compounding Pharmacy in Omaha, Nebraska. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 N 114th St
Omaha, NE 68154-1571
Phone: (402) 408-0015
Fax: (402) 408-0020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X

Record details

NPI number1902445414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Kohll — President · (402) 306-6503
Other names Preventative Medical Clinic Pharmacy
NPI enumeratedDecember 31, 2019
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing address16705 Ontario Plz, Omaha, NE 68130-2131

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