AMC Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Kansas City, MO
NPI 1033780937 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1033780937
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- AMC PHARMACY LLC
- Practice address
- 4309 E 50TH Ter Ste 200a
Kansas City, MO 64130-2853 - Phone
- (866) 454-8029
- Fax
- (833) 753-1098
- NPI assigned
- Jul 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Tony Fields
- Title
- Chief Pharmacy Officer
- Phone
- (414) 223-6874
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 2
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240926004423 | MO | Part B Supplier - Pharmacy | 3072044395 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kansas City, MO; Saint Louis, MO |
National Provider Directory
- Tax ID family
- AMC Pharmacy LLC
Locations
4209 E 50th Ter
Ste 200
Kansas City, MO 64130
4309 E 50th Ter
Ste 200A
Kansas City, MO 64130
Phone (866) 454-8029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4309 E 50TH Ter Ste 200a
Kansas City, MO 64130-2853
Mailing address
1311 N 6TH St Ste 201
Milwaukee, WI 53212-4006
Phone (800) 359-9272
Other names
- Vivent Pharmacy
Other providers in Kansas City, MO
- Mithulya Amboo Mahentheran
- Jennifer Amborn
- Allison Kay Ambrose
- Douglas R Ambrose
- Katherine E Ambrosier Groves
- Esi Amedodji
- America Elderly Care LLC
- America'S Best Contacts & Eyeglasses
- America'S Best Contacts & Eyeglasses
- America'S Best Contacts & Eyeglasses
All providers in Kansas City, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.