KANSAS CVS PHARMACY LLC


Address: 2024 N Rock Rd, Derby, KS 67037-3752
Phone: 3164484554

KANSAS CVS PHARMACY LLC (NPI# 1992953996) 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) 1992953996
Entity Type Organization
Organization Name KANSAS CVS PHARMACY LLC
Other Organization Name CVS PHARMACY #17502
Practice Address 2024 N Rock Rd
Derby
KS 67037-3752
Mailing Address 1 Cvs Dr
Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 3164484554
Practice Fax Number 3164484564
Mailing Telephone 4017651500
Enumeration Date 2008-09-03
Last Update Date 2016-10-21
Authorized Official Name SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
Authorized Official Telephone 4017702751
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
210206 KS Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2116798 01

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #17502 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
1093974529 Kansas Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 22700 W 55th Terrace, Shawnee, KS 66226 2008-06-09
1891874772 Kansas Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 18351 W 119th St, Olathe, KS 66061-8005 2006-11-03

Office Location

Street Address 2024 N ROCK RD
City DERBY
State KS
Zip Code 67037-3752

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316281678 Amanda Steely Pharmacist 2024 N Rock Rd, Derby, KS 67037-3752 2012-11-26
1508153461 Kari Ohn Toy Pharmacist 2024 N Rock Rd, T-2448, Derby, KS 67037-3752 2011-06-29
1417241530 Hai Minh Koulaboud Pharmacist 2024 N Rock Rd, T-2448, Derby, KS 67037-3752 2011-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114409182 Lori Renee Young Counselor 1144 N. Buckner, Derby, KS 67037 2018-09-05
1295227585 James Todd Hawkins Social Worker 918 E Wedgewood Dr., Derby, KS 67037 2018-06-01
1518454842 Rock Regional Hospital, LLC General Acute Care Hospital 3251 Rock Road, Derby, KS 67037 2018-04-23
1093161325 Inspired Care LLC In Home Supportive Care 1400 E Warren Ave, Derby, KS 67037 2016-05-05
1083095970 Emily O'dell Family Medicine 1640 E Tall Tree Rd, Derby, KS 67037 2015-06-16
1700264017 Grant Snider Dds, LLC Dentist 2701 North Rock Road, Suite 600, Derby, KS 67037 2015-05-07
1629472691 Anaidy Claudio Social Worker 265 W Village Lake Dr, Derby, KS 67037 2014-10-20
1396094470 Derby Assisted Living, LLC Assisted Living Facility 719 N. Klein Circle, Derby, KS 67037 2012-09-05
1700104635 Cynthia D Holcomb Social Worker 1721 E. Osage, Suite 300, Derby, KS 67037 2010-05-17
1295066215 Traci Lynn Borland Occupational Therapist 731 Klein Circle, Derby, KS 67037 2010-01-15
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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
1114968591 Dillon Companies LLC Pharmacy 1624 N Rock Rd, Derby, KS 67037 2006-06-09
1225219579 Tops Markets LLC Pharmacy 6914 Erie Rd, Derby, NY 14047-9665 2007-11-15

Providers in the same taxonomy and state

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
1871115394 Anderson-rogers Pharmacy LLC Pharmacy 1410 Kasold Dr Ste A16, Lawrence, KS 66049-3428 2020-05-07
1770118812 Oshkins Pharmacy Pharmacy 1318 23rd St, Belleville, KS 66935-2500 2020-03-09
1538726880 University of Kansas Hospital Authority Pharmacy 901 N 5th St, Kansas City, KS 66101-2907 2019-05-22
1083186530 Svdrx Corporation Pharmacy 7940 W 151st St, Overland Park, KS 66223-2118 2018-12-21
1205308053 Lyon Pharmacy Inc Pharmacy 921 W Main St, Lyons, KS 67554 2018-12-18
1750852455 Lakin Drug, LLC Pharmacy 610 Oloughlin St, Lakin, KS 67860 2018-12-07
1588130330 Sigler and Hubbell LLC Pharmacy 23351 Prairie Star Pkwy Ste A115, Lenexa, KS 66227-6201 2018-10-19
1861973828 Dandurand Pharmacy, Inc Pharmacy 6227 E 13th St N, Wichita, KS 67208-2654 2018-08-27
1447756457 Cardinal Health 132 LLC Pharmacy 527 N Grove Street, Suite 100, Wichita, KS 67214 2018-03-30
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Competitor

Search similar providers

City DERBY
Zip Code 67037

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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