RCR East, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

210265 Issued in KS

Legal business name

RCR EAST, LLC

Doing business as

Custom Rx Pharmacy & Wellness Concepts

Practice address

2350 N Greenwich Rd
Suite 1000
Wichita, KS 67226-8269

Phone

(316) 636-9595

Fax

(316) 636-9591

NPI assigned

Dec 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nicolas L Branam, PHARM.D.

Title

Pic

Phone

(316) 636-9595

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Custom Rx Pharmacy & Wellness Concepts Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1013072289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 N GREENWICH RD",
            "address_2": "SUITE 1000",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268269",
            "telephone_number": "316-636-9595",
            "fax_number": "316-636-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N GREENWICH RD",
            "address_2": "SUITE 1000",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268269",
            "telephone_number": "316-636-9595",
            "fax_number": "316-636-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCR EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "BRANAM",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "316-636-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "210265",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004631360001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Rx Pharmacy & Wellness Concepts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Custom Rx Pharmacy & Wellness Concepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Abbey Read, LCMFT
• Christopher Read, LMFT

• Community/Retail Pharmacy in Wichita, KS
• Providers in Wichita, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.