JAYHAWK CUSTOM PHARMACY (NPI# 1083709026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083709026 |
| Entity Type | Organization |
| Organization Name | JAYHAWK CUSTOM PHARMACY |
| Practice Address |
6730 Sw 29th St Topeka KS 66614-5650 |
| Practice Telephone | 7852289740 |
| Practice Fax Number | 7852289745 |
| Mailing Telephone | 7852289740 |
| Mailing Fax Number | 7852289745 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL CONLIN (OWNER PHARMACIST) |
| Authorized Official Telephone | 7852289740 |
| Authorized Official Credential | RPH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
2-09414 | KS | Suppliers |
| X | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
2-09414 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA REGISTRATION | BJ5143716 | 01 | |
| KS | STATE LICENSE NUMBER | 2-09414 | 01 |
| Street Address |
6730 SW 29TH ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66614-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285725705 | Linda D Becker | Nurse Practitioner | 6730 Sw 29th St, Topeka, KS 66614-5650 | 2006-09-28 |
| 1437641024 | Cardiovascular Institute of America | Internal Medicine | 6730 Sw 29th St, Suite B, Topeka, KS 66614 | 2018-05-31 |
| 1285879775 | Bahaa Abu Bakr | Internal Medicine | 6730 Sw 29th St, Topeka, KS 66614-5650 | 2008-12-11 |
| 1083868657 | Kathy J Brunin | Nurse Practitioner | 6730 Sw 29th St, Suite B, Topeka, KS 66614 | 2008-11-10 |
| 1912124181 | Mary Alice Scheer | Dietitian, Registered | 6730 Sw 29th St, Suite C, Topeka, KS 66614-5650 | 2007-04-19 |
| 1063530889 | Robert Exon | Pharmacist | 6730 Sw 29th St, Topeka, KS 66614-5650 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205356516 | James Michael Mcgill | Counselor | 2121 Sw Chelsea Dr., Topeka, KS 66614 | 2017-06-27 |
| 1366988339 | Tracy Sprague | Nurse Practitioner | 2655 Sw Wanamaker, Topeka, KS 66614 | 2017-01-13 |
| 1336518976 | Pearlie Mae's Compassion and Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2956 Sw Seabrook Ave, Topeka, KS 66614 | 2015-09-24 |
| 1124424924 | Sunflower Smiles Pediatric Dentistry | Dentist | 3635 Sw Fairlawn Road, Suite 1, Topeka, KS 66614 | 2014-11-06 |
| 1902200371 | Katie Lynn Schippers | Pharmacist | 55311 Sw 22nd Pl, Topeka, KS 66614 | 2014-10-14 |
| 1457767105 | Eugene Curtis | Dentist | 2221 Sw Auburn Rd, Topeka, KS 66614 | 2014-07-02 |
| 1538583190 | Arnold V. Mueller | Internal Medicine | 2737 S.w. Bluestem Dr., Topeka, KS 66614 | 2014-02-18 |
| 1477991610 | Robert Roy Payne | Orthopaedic Surgery | 2403 Southwest Brookhaven Lane, Robert R. Payne, M.d, Topeka, KS 66614 | 2013-06-10 |
| 1134425556 | Dale Lake | Case Manager/Care Coordinator | 2706 Sw Tutbury Town Rd, Topeka, KS 66614 | 2011-02-02 |
| 1013248558 | Aline Boutz | Assisted Living Facility | 7720 Sw Asbury Dr, Topeka, KS 66614 | 2010-01-22 |
| Find all providers in zip 66614 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417430174 | Apollo Homecare of Kansas, Inc. | Durable Medical Equipment & Medical Supplies | 4410 Sw 21st St Ste B, Topeka, KS 66604-3504 | 2018-09-10 |
| 1780079806 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2037 Sw Mcalister Ave, Topeka, KS 66604-3431 | 2015-04-06 |
| 1609960236 | Breathe Oxygen Supply, Inc. | Durable Medical Equipment & Medical Supplies | 5967 Sw 29th St, Suite 260, Topeka, KS 66614-2537 | 2006-10-03 |
| 1205946415 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 6261 Sw 9th St Ste B, Topeka, KS 66615-3856 | 2006-08-30 |
| 1629083100 | Apria Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1112 Sw 6th Ave, Topeka, KS 66606-1406 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1548732274 | S & S Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 113 S Mill St, Beloit, KS 67420-3236 | 2018-12-19 |
| 1417404278 | Night Time Medical Inc. | Durable Medical Equipment & Medical Supplies | 1508 Taylor Plz E, Garden City, KS 67846-4055 | 2016-09-08 |
| 1417342387 | Breathe Oxygen Supply, Inc. | Durable Medical Equipment & Medical Supplies | 650 Congressional Dr, Suite C, Lawrence, KS 66049-4869 | 2015-03-30 |
| 1710376330 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 14931 W 99th St, Lenexa, KS 66215-1112 | 2015-01-20 |
| 1255744942 | Trinity Home Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 7506 Nebraska Ave, Kansas City, KS 66112-2467 | 2014-06-10 |
| 1609143122 | Orthotek, Inc. | Durable Medical Equipment & Medical Supplies | 2233 N Ridge Rd, Suite 105, Wichita, KS 67205-1131 | 2011-11-29 |
| 1801183108 | Olson Medical LLC | Durable Medical Equipment & Medical Supplies | 2515 Main Street, Parsons, KS 67357-2727 | 2011-07-07 |
| 1275836819 | Kansas Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 217 S Kansas Ave, Columbus, KS 66725 | 2010-12-20 |
| 1801028634 | Medical West Respiratory Central, LLC | Durable Medical Equipment & Medical Supplies | 15502 College Blvd, Lenexa, KS 66219-1350 | 2009-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.