KANSAS CVS PHARMACY LLC


Address: 12691 Antioch Rd, Overland Park, KS 66213-1701
Phone: 9136819665

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 1718874 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY #08585 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 12691 ANTIOCH RD
City OVERLAND PARK
State KS
Zip Code 66213-1701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407485170 Jaclyn Bryan Pharmacist 12691 Antioch Rd, Overland Park, KS 66213-1701 2020-04-05

Providers in the same zip code

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 Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City OVERLAND PARK
Zip Code 66213

Improve Information

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Dataset Information

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.

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