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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2116798 | 01 |
Other Name | Type Code |
---|---|
CVS Pharmacy #17502 | 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 |
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 |
Street Address |
2024 N ROCK RD |
City | DERBY |
State | KS |
Zip Code | 67037-3752 |
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 |
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 |
Find all providers in zip 67037 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
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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.