MEDICARE: SAKRX, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1487129425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAKRX, LLC

Provider Business Mailing Address
First Line	:	12741 Q ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68137-3211
Country	:	US
Telephone Number	:	402-895-6812
Fax Number	:	402-895-7655

Provider Business Practice Location Address
First Line	:	2915 LEAVENWORTH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68105-2739
Country	:	US
Telephone Number	:	402-342-6548
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. PETER E JENSEN
Credential	:
Telephone Number	:	402-973-1915

Provider Enumeration Date	:	10/05/2018
Last Update Date	:	04/01/2025

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Directions to “SAKRX, LLC ” Practice Location

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