HEARTLAND DIABETIC SUPPLIES LLC (NPI# 1396830980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396830980 |
| Entity Type | Organization |
| Organization Name | HEARTLAND DIABETIC SUPPLIES LLC |
| Practice Address |
10703 W. 149th Street Overland Park KS 66221 |
| Practice Telephone | 9135387582 |
| Practice Fax Number | 9138977709 |
| Mailing Telephone | 9135387582 |
| Mailing Fax Number | 9138977709 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LORA LYNN MORA (OWNER) |
| Authorized Official Telephone | 913-538-7582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 6-00316 | KS | Suppliers |
| Street Address |
10703 W. 149TH STREET |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936290 | Roling Chiropractic and Wellness LLC | Chiropractor | 11818 W 135th St, Overland Park, KS 66221 | 2019-08-01 |
| 1518519339 | Joshua Dale Roling | Chiropractor | 11818 West 135th Street, Overland Park, KS 66221 | 2019-07-11 |
| 1225508898 | Keaghan Michelle Shacklett | Specialist/Technologist | 13747 Cody St., Overland Park, KS 66221 | 2018-11-27 |
| 1215341003 | Creighton Gallagher, Dds LLC | Dentist | 8925 W 135th Street, Overland Park, KS 66221 | 2014-06-19 |
| 1508201963 | Jessica Mary Molstad | Nurse Practitioner | 11400 W. 135th Street, Overland Park, KS 66221 | 2013-04-29 |
| 1659687739 | Willie K Yuen | Physical Therapist | 11504 W 135th St., Performance Rehab. LLC, Overland Park, KS 66221 | 2010-08-26 |
| 1730414970 | Sue A. Klein | Physical Therapist | 11504 W. 135th St., Overland Park, KS 66221 | 2009-10-06 |
| 1538375407 | Michelle Tims | Occupational Therapist | 9101 158th St, Overland Park, KS 66221 | 2007-05-15 |
| 1124249321 | Choice of Health Pa | Chiropractor | 9120 W 135th Street, Suite 205, Overland Park, KS 66221 | 2007-05-02 |
| 1457454589 | Michael Trenkamp | Physical Therapy Assistant | 11330 West 135th Street, Overland Park, KS 66221 | 2006-09-06 |
| Find all providers in zip 66221 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| 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 |
|---|---|---|---|---|
| 1598295545 | Shawnee Mission Medical Center, Inc. | Non-Pharmacy Dispensing Site | 9099 W 135th St, Overland Park, KS 66221-2005 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849250 | Ideal Feet Wichita | Non-Pharmacy Dispensing Site | 3236 N Rock Rd Ste 100, Wichita, KS 67226-1359 | 2020-04-08 |
| 1265962286 | Shawnee Mission Medical Center, Inc. | Non-Pharmacy Dispensing Site | 14744 W 119th St, Olathe, KS 66062-8602 | 2017-06-13 |
| 1720380587 | Emergent Care Plus | Non-Pharmacy Dispensing Site | 4800 W 135th St, Suite 190, Leawood, KS 66224-8720 | 2010-11-30 |
| 1104075332 | Rlsm, LLC | Non-Pharmacy Dispensing Site | 2407 W 13th St N, Wichita, KS 67203-1930 | 2008-09-11 |
| 1982867230 | Mercy Hospital of Kansas Inc | Non-Pharmacy Dispensing Site | 9th & Main, Pleasanton, KS 66075 | 2008-07-08 |
| 1871789719 | United Methodist Western Kansas Mexican-american Ministries, Inc. | Non-Pharmacy Dispensing Site | 121 West 3rd, Liberal, KS 67901-3218 | 2007-09-24 |
| 1730174228 | United Methodist Western Kansas Mexican-american Ministries, Inc. | Non-Pharmacy Dispensing Site | 712a Saint John St, Garden City, KS 67846-5128 | 2005-09-12 |
| 1891314456 | Central Care, Pa | Non-Pharmacy Dispensing Site | 204 Cleveland St, Great Bend, KS 67530-3563 | 2020-04-14 |
| 1346869088 | Central Care, Pa | Non-Pharmacy Dispensing Site | 305 W 15th St Ste 203, Liberal, KS 67901-2455 | 2020-04-13 |
| 1770102402 | Central Care, Pa | Non-Pharmacy Dispensing Site | 1401 W 12th Ave, Emporia, KS 66801-2570 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66221 |
Please comment or provide details below to improve the information on HEARTLAND DIABETIC SUPPLIES LLC.
| 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.