Healthcare Provider Details

I. General information

NPI: 1720907546
Provider Name (Legal Business Name): J3A INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3611 2ND AVE
KEARNEY NE
68847-8104
US

IV. Provider business mailing address

3611 2ND AVE
KEARNEY NE
68847-8104
US

V. Phone/Fax

Practice location:
  • Phone: 308-455-1555
  • Fax: 308-708-2699
Mailing address:
  • Phone: 308-455-1555
  • Fax: 308-708-2699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ANN HAMIK
Title or Position: OWNER
Credential: BS PHARM
Phone: 308-293-0816