OrganizationActive
Pmcjk LLC
NPI 1902445414 · Compounding Pharmacy · Omaha, NE
Pmcjk LLC is a Compounding Pharmacy organization in Omaha, NE (NPI 1902445414).
Provider details
- NPI number
- 1902445414
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Justin Kohll, President(402) 306-6503
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
620 N 114th St
Omaha, NE 68154-1571
Phone: (402) 408-0015
Fax: (402) 408-0020
Street-level locationGet directions
Mailing address
16705 Ontario Plz
Omaha, NE 68130-2131
Other names (DBA / former)
- Doing business as
- Preventative Medical Clinic Pharmacy
Registry dates
- Enumerated
- 2019-12-31
- Last updated
- 2019-12-31
- Certified
- 2019-12-31
Frequently asked questions
- What is Pmcjk LLC's NPI number?
- Pmcjk LLC's National Provider Identifier (NPI) is 1902445414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pmcjk LLC?
- Pmcjk LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Pmcjk LLC located?
- Pmcjk LLC's practice location on file with NPPES is 620 N 114th St, Omaha, NE 68154-1571.
- What is Pmcjk LLC's phone number?
- The practice phone number listed in the NPPES registry for Pmcjk LLC is (402) 408-0015.
- Who is the authorized official for Pmcjk LLC?
- The authorized official listed on Pmcjk LLC's NPPES record is Justin Kohll, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pmcjk LLC's NPI active?
- Yes — Pmcjk LLC's NPI (1902445414) is active in the NPPES registry as of the last update on 2019-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.