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PMCJK LLC
NPI 1902445414
Pharmacy - Compounding Pharmacy in Omaha, NE

Active since December 31, 2019
620 N 114TH ST, OMAHA, NE 68154(402) 408-0015(402) 408-0020 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Pmcjk Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PMCJK LLC (NPI 1902445414), doing business as Preventative Medical Clinic Pharmacy, is a healthcare organization registered as a compounding pharmacy in Omaha, Nebraska and active in the NPI registry since December 2019. The organization lists Justin M Kohll, President, as its authorized official.

NPPES Registry Identity

NPI1902445414
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NamePMCJK LLC
Location Address620 N 114TH STOmaha, NE 68154-1571
Mailing Address16705 Ontario PlzOmaha, NE 68130-2131 · (402) 306-6503
Phone(402) 408-0015
Fax(402) 408-0020
Organization SubpartNo
Authorized OfficialJustin M KohllPresident · (402) 306-6503
Enumeration DateDecember 31, 2019
✔ NPI 1902445414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
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.
620 N 114TH ST, Omaha, NE 68154
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Other Names 1

Doing Business AsPreventative Medical Clinic Pharmacy

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KOHLL'S PHARMACY & HOMECARE, INC.
Pharmacy (Compounding Pharmacy)
620 N 114TH ST
OMAHA, NE 68154
Douglas County (402) 408-0012
KOHLLS PHARMACY & HOMECARE INC
Pharmacy
620 N 114TH ST
OMAHA, NE 68154
Douglas County (402) 408-0012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pmcjk LLC's NPI number?

The NPI number for Pmcjk LLC is 1902445414. It was assigned to this organization in the NPPES registry on December 31, 2019. The provider is doing business as Preventative Medical Clinic Pharmacy.

Where is Pmcjk LLC located?

Pmcjk LLC is located at 620 N 114th St, Omaha, NE 68154. The listed phone number is (402) 408-0015.

What is Pmcjk LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Pmcjk LLC was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.