KANSAS CVS PHARMACY LLC (NPI# 1639113004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639113004 |
Entity Type | Organization |
Organization Name | KANSAS CVS PHARMACY LLC |
Other Organization Name | CVS PHARMACY #08585 |
Practice Address |
12691 Antioch Rd Overland Park KS 66213-1701 |
Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 9136819665 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2014-09-30 |
Authorized Official Name | CRISTIANA MAURICIO (MANAGER PHARMACY ENROLLMENTS) |
Authorized Official Telephone | 4017702937 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 1718874 | 01 |
Other Name | Type Code |
---|---|
CVS PHARMACY #08585 | 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 |
1376988139 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4808 E Central Ave, Wichita, KS 67208-4013 | 2013-05-07 |
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 |
Street Address |
12691 ANTIOCH RD |
City | OVERLAND PARK |
State | KS |
Zip Code | 66213-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407485170 | Jaclyn Bryan | Pharmacist | 12691 Antioch Rd, Overland Park, KS 66213-1701 | 2020-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
Find all providers in zip 66213 |
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 |
---|---|---|---|---|
1639785652 | Arx Patient Solutions, LLC | Pharmacy | 4500 W 107th St Ste 200, Overland Park, KS 66207-4025 | 2020-09-16 |
1083186530 | Svdrx Corporation | Pharmacy | 7940 W 151st St, Overland Park, KS 66223-2118 | 2018-12-21 |
1912432097 | Cosentino Group Inc | Pharmacy | 8051 W 160th St, Overland Park, KS 66085-8138 | 2017-04-26 |
1639322852 | Clinical Business Solutions Inc | Pharmacy | 12900 Foster St, Suite 300, Overland Park, KS 66213-2649 | 2008-10-31 |
1285797803 | Cosentino Group Inc | Pharmacy | 7418 W 119th St, Overland Park, KS 66213-1110 | 2006-12-18 |
1467513531 | Queen Enterprises L L C | Pharmacy | 7201 W 151st St, Overland Park, KS 66223-2229 | 2006-12-13 |
1124193701 | Queen-morris Ventures L L C | Pharmacy | 8686 Antioch Rd, Overland Park, KS 66212-3648 | 2006-11-21 |
1861581415 | Mahoneys Compounding Pharmacy LLC | Pharmacy | 11844 Quivira Rd, Overland Park, KS 66210-1300 | 2006-10-12 |
1306958251 | Wycliff Pharmacy Inc | Pharmacy | 10410 Mastin St, Overland Park, KS 66212-5701 | 2006-08-31 |
1669498515 | Optumrx, Inc. | Pharmacy | 6800 W 115th St Ste 600, Overland Park, KS 66211-9838 | 2006-07-14 |
Find all providers in OVERLAND PARK |
City | OVERLAND PARK |
Zip Code | 66213 |
Please comment or provide details below to improve the information on KANSAS CVS PHARMACY 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.