CHILDRENS MERCY HOSPITAL (NPI# 1720524846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720524846 |
| Entity Type | Organization |
| Organization Name | CHILDRENS MERCY HOSPITAL |
| Other Organization Name | THE CHILDREN'S MERCY-KANSAS OUTPATIENT PHARMACY |
| Practice Address |
5808 W 110th St Overland Park KS 66211-2504 |
| Mailing Address |
2401 Gillham Rd Provider Enrollment Dept Kansas City MO 64108-4619 |
| Practice Telephone | 9136968545 |
| Practice Fax Number | 9132649953 |
| Mailing Telephone | 8167015200 |
| Mailing Fax Number | 8163029939 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | ROBERT FINUF (VICE PRESIDENT) |
| Authorized Official Telephone | 8165599370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2101883 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100023380L | 05 | |
| MO | 600042359 | 05 | |
| PK | 2167129 | 01 |
| Other Name | Type Code |
|---|---|
| The Children's Mercy-Kansas Outpatient Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902197270 | Childrens Mercy Hospital | Pharmacy | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2011-04-21 |
| 1427386960 | Childrens Mercy Hospital | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-11-20 |
| 1043473556 | Childrens Mercy Hospital | Pharmacy | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-07-03 |
| 1851580724 | Childrens Mercy Hospital | Pharmacy | 4313 State Ave, Kansas City, KS 66102-3734 | 2007-10-17 |
| 1356408520 | Childrens Mercy Hospital | Pharmacy | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-01-03 |
| Street Address |
5808 W 110TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779906 | Angela J Croom | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2005-12-01 |
| 1619502473 | David Vanderhofe | Social Worker | 5808 W 110th St, Overland Park, KS 66211-2504 | 2020-03-11 |
| 1366095283 | Kimberly Renee Periman | Nurse Practitioner | 5808 W 110th St, Overland Park, KS 66211-2504 | 2019-07-19 |
| 1912461997 | Taryn Gort | Registered Nurse | 5808 W 110th St, Overland Park, KS 66211-2504 | 2019-01-24 |
| 1407325186 | Caley Jo Dykstra | Nurse Practitioner | 5808 W 110th St, Overland Park, KS 66211 | 2018-11-25 |
| 1881182723 | Erika O Kokoruda | Social Worker | 5808 W 110th St, Overland Park, KS 66211-2504 | 2018-04-26 |
| 1689129991 | Linda Ahmu | Dietitian, Registered | 5808 W 110th St, Overland Park, KS 66211-2504 | 2016-08-17 |
| 1952715427 | Margaret Koos | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2014-06-12 |
| 1376954461 | Amornluck Krasaelap | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2014-05-12 |
| 1972922698 | Taina Jausurawong Hudson | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2014-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| 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 | 66211 |
Please comment or provide details below to improve the information on CHILDRENS MERCY HOSPITAL.
| 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.