SHAWNEE MISSION MEDICAL CENTER INC (NPI# 1801184262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801184262 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MISSION MEDICAL CENTER INC |
| Other Organization Name | SHAWNEE MISSION HOME INFUSION |
| Practice Address |
9100 W 74th St Shawnee Mission KS 66204-4004 |
| Mailing Address |
9100 W. 74th St Shawnee Mission KS 66204-4004 |
| Practice Telephone | 9136762281 |
| Practice Fax Number | 9137893175 |
| Mailing Telephone | 9136762281 |
| Mailing Fax Number | 9137893175 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | PAMELA CLARK (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 9136762284 |
| 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 | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
2-09756 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100093850A | 05 | |
| PK | 2131981 | 01 |
| Other Name | Type Code |
|---|---|
| Shawnee Mission Home Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551144 | Shawnee Mission Medical Center Inc | Family Medicine | 15710 W 135th St Ste 200, Olathe, KS 66062-1508 | 2017-11-15 |
| 1316450133 | Shawnee Mission Medical Center Inc | Family Medicine | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2017-11-15 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1750323937 | Shawnee Mission Medical Center Inc | Home Health | 7312 Antioch Rd, Merriam, KS 66204-2739 | 2006-06-12 |
| 1235792003 | Shawnee Mission Medical Center Inc | Clinical Medical Laboratory | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-04-17 |
| 1720142565 | Shawnee Mission Medical Center Inc | Psychiatric Unit | 9100 W 74th St, Merriam, KS 66204-4004 | 2006-12-19 |
| 1023171634 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 9100 W 74th St, Merriam, KS 66204-4004 | 2006-12-18 |
| 1720146970 | Shawnee Mission Medical Center Inc | Pharmacy | 9100 W. 74th St, Shawnee Mission, KS 66204 | 2006-12-04 |
| 1992735690 | Shawnee Mission Medical Center Inc | Internal Medicine | 9100 W 74th St, Merriam, KS 66204-4004 | 2006-07-05 |
| Street Address |
9100 W 74TH ST |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66204-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641702 | Gregory Jan Strohs | Pharmacist | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2005-06-30 |
| 1235767229 | Sarah-grace Miller Hamm | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-27 |
| 1174159362 | Lindsey Ann Bagby | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-19 |
| 1285260570 | Kathleen Ann Henderson | Clinical Nurse Specialist | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-18 |
| 1295368140 | Alex M Whitehill | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-02-19 |
| 1467085993 | Rogelio Alfonso Morin | Specialist/Technologist, Other | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-02-12 |
| 1891326641 | Christopher J White | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-01-30 |
| 1750947271 | Patrick J Patterson | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2019-05-10 |
| 1164985461 | Ashley M Kane | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2019-04-12 |
| 1174085765 | Rachel M Meredith | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801379003 | Axivarx of Kansas, LLC | Pharmacy | 11425 Strang Line Rd, Lenexa, KS 66215-4047 | 2018-09-13 |
| 1891703914 | Av Drug Acquisition Co | Pharmacy | 11131 W 79th St, Lenexa, KS 66214-1482 | 2006-08-04 |
| 1821024142 | Ascension Via Christi Home Medical Wichita, LLC | Pharmacy | 528 N Saint Francis St, Wichita, KS 67214-3808 | 2006-06-26 |
| 1326047168 | Ihs Acquisition Xxx Inc | Pharmacy | 8028 Reeder Rd, Lenexa, KS 66214-1554 | 2005-07-14 |
| 1669889978 | Infectious Disease Consultants, P.a. | Pharmacy | 1100 N Saint Francis St, Suite 150, Wichita, KS 67214-2878 | 2014-07-18 |
| 1568642866 | Ascension Via Christi Home Medical Wichita, LLC | Pharmacy | 528 N Saint Francis St, Wichita, KS 67214-3808 | 2007-11-05 |
| City | SHAWNEE MISSION |
| Zip Code | 66204 |
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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.