KANSAS CVS PHARMACY LLC (NPI# 1376988139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376988139 |
| Entity Type | Organization |
| Organization Name | KANSAS CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY# 10075 |
| Practice Address |
4808 E Central Ave Wichita KS 67208-4013 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 3166821733 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-10-24 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1720754 | 01 | |
| KS | 201083270B | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy# 10075 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851783740 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3901 Sw 21st St, Topeka, KS 66604-3356 | 2015-03-02 |
| 1376963165 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 681 S Ohio St, Salina, KS 67401-2447 | 2014-04-21 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1245651033 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3149 East Harry St, Wichita, KS 67211-4016 | 2013-12-20 |
| 1528404274 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2014 W 21st St N, Wichita, KS 67203-2107 | 2013-05-21 |
| 1568702462 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10405 West 13th St, Wichita, KS 67212 | 2013-03-01 |
| 1700174448 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4300 Rainbow Blvd, Kansas City, KS 66103-3425 | 2011-07-15 |
| 1992953996 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2024 N Rock Rd, Derby, KS 67037-3752 | 2008-09-03 |
| 1093974529 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 22700 W 55th Terrace, Shawnee, KS 66226 | 2008-06-09 |
| 1891874772 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18351 W 119th St, Olathe, KS 66061-8005 | 2006-11-03 |
| Street Address |
4808 E CENTRAL AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861973828 | Dandurand Pharmacy, Inc | Pharmacy | 6227 E 13th St N, Wichita, KS 67208-2654 | 2018-08-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1477062891 | Cardinal Health 132, LLC | Pharmacy | 2707 E 21st St N Ste 201, Wichita, KS 67214-2249 | 2017-09-28 |
| 1962881714 | Senior Care Services Inc | Pharmacy | 555 N Woodlawn St Ste 120, Wichita, KS 67208-3646 | 2015-05-27 |
| 1609001395 | Neighborhood Pharmacy | Pharmacy | 2251 E 21st St N, Suite 121, Wichita, KS 67214-1972 | 2009-05-25 |
| 1730206103 | Jcb Laboratory LLC | Pharmacy | 7335 W 33rd St N, Wichita, KS 67205-9368 | 2007-03-23 |
| 1710002894 | Hac Inc | Pharmacy | 640 N West St, Wichita, KS 67203-1211 | 2007-03-20 |
| 1609991785 | Hac Inc | Pharmacy | 3137 S Seneca St, Wichita, KS 67217-3234 | 2007-03-20 |
| 1801911987 | Hac Inc | Pharmacy | 3020 E Douglas Ave, Wichita, KS 67214-4818 | 2007-03-20 |
| 1518082692 | Hac Inc | Pharmacy | 1607 S Georgetown St, Wichita, KS 67218-4111 | 2007-03-20 |
| Find all providers in WICHITA | ||||
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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.