WYCLIFF PHARMACY INC (NPI# 1306958251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306958251 |
| Entity Type | Organization |
| Organization Name | WYCLIFF PHARMACY INC |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
10410 Mastin St Overland Park KS 66212-5701 |
| Practice Telephone | 9134924998 |
| Practice Fax Number | 9134925121 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | DENA FERMAN (THIRD PARTY PLAN COORDINATOR) |
| Authorized Official Telephone | 3149936000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 208444 | KS | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1708277 | 01 | |
| KS | DEA | AW7783120 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICINE SHOPPE | Doing Business As Name - Organization |
| Street Address |
10410 MASTIN ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66212-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972082188 | Identity Chiropractic LLC | Chiropractor | 10410 Mastin St, Overland Park, KS 66212-5701 | 2018-08-08 |
| 1437673332 | Eric R Phillips | Chiropractor | 10410 Mastin St, Overland Park, KS 66212 | 2017-08-01 |
| 1467976795 | Alyssa Frances Phillips | Chiropractor | 10410 Mastin St, Overland Park, KS 66212 | 2017-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1518572163 | Pathways To Empowerment | Marriage & Family Therapist | 7180 W. 107th Street, St. 21, Overland Park, KS 66212 | 2020-09-10 |
| 1689287914 | Lisa Marie Ambrosek | Behavioral Analyst | 7725 W 87th Street, Overland Park, KS 66212 | 2020-08-26 |
| 1598221061 | Ginger Marie Anderson | Massage Therapist | 9200 Glewood Street Suite 101, Overland Park, KS 66212 | 2019-02-20 |
| 1508335092 | Samantha Nicole Stevens | Behavior Technician | 7725 W. 87th Street, Overland Park, KS 66212 | 2018-11-14 |
| 1831600360 | Kristin Nichols | Occupational Therapist | 8826 Sante Fe Dr, Suite 203, Overland Park, KS 66212 | 2017-10-24 |
| 1538529003 | Cindy Sykes | Social Worker | 8402 Lowell Ave, Overland Park, KS 66212 | 2016-02-26 |
| 1265804157 | Lauren Spears | Psychologist | 10100 W 87th St Ste 306, Overland Park, KS 66212 | 2015-10-30 |
| 1699158279 | Harbor Hospice of Kansas Lp | Hospice Care, Community Based | 7223 W 95th St Ste 230, Overland Park, KS 66212 | 2015-07-01 |
| 1982000303 | Doolittle & Harrington Healthcare LLC | Clinic/Center | 10560 Barkley St Ste 340, Overland Park, KS 66212 | 2014-11-12 |
| Find all providers in zip 66212 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807120 | Optumrx, Inc. | Pharmacy | 6800 W 115th Street, Suite 600, Overland Park, KS 66211-9838 | 2020-09-30 |
| 1811536683 | Active Lifestyle Pharmacy LLC | Pharmacy | 7800 Foster St, Overland Park, KS 66204-2955 | 2019-12-27 |
| 1184145237 | Ge Gao | Pharmacy | 10126 W 119th St, Overland Park, KS 66213-1461 | 2017-06-29 |
| 1629448022 | Midwest Biologics, Inc. | Pharmacy | 16124 Foster St, Overland Park, KS 66085-8417 | 2015-09-29 |
| 1598850232 | Howard Stark Professional Pharmacy | Pharmacy | 5701 W 119th St Ste 125, Overland Park, KS 66209-3721 | 2006-10-04 |
| 1144327636 | Kansas Cvs Pharmacy, L.L.C. | Pharmacy | 9501 Nall Ave, Overland Park, KS 66207-2949 | 2006-09-19 |
| 1225148844 | Costco Wholesale Corporation | Pharmacy | 12221 Blue Valley Pkwy, Overland Park, KS 66213 | 2006-08-30 |
| 1417963059 | Walgreen Co | Pharmacy | 8681 W 135th St, Overland Park, KS 66223-1215 | 2006-08-01 |
| 1548282288 | Kansas Cvs Pharmacy LLC | Pharmacy | 12200 Blue Valley Pkwy, Overland Park, KS 66213-2639 | 2006-07-24 |
| 1669408050 | Hy-vee, Inc. | Pharmacy | 10118 W 119th St, Overland Park, KS 66213-1600 | 2006-06-25 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66212 |
Please comment or provide details below to improve the information on WYCLIFF PHARMACY INC.
| 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.