NPIMap

Organization Active NPI

Candlewood Pharmacy LC

Doing business as Candlewood Health Mart Pharmacy (LTC)

  • Long Term Care Pharmacy
  • Manhattan, KS
National Provider Identifier
1043186802
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CANDLEWOOD PHARMACY LC
Doing business as
Candlewood Health Mart Pharmacy (LTC)
Practice address
3254 Kimball Ave
Manhattan, KS 66503-2157
Phone
(785) 776-4100
Fax
(785) 776-1039
NPI assigned
Oct 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Amy Hellerich
Title
Owner
Phone
(785) 776-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3254 Kimball Ave
Manhattan, KS 66503-2157

Mailing address

3254 Kimball Ave
Manhattan, KS 66503-2157
Phone (785) 776-4100

Other names 1

  • CANDLEWOOD HEALTH MART PHARMACY (LTC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Candlewood Pharmacy LC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1043186802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3254 KIMBALL AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665032157",
            "telephone_number": "785-776-4100",
            "fax_number": "785-776-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3254 KIMBALL AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665032157",
            "telephone_number": "785-776-4100",
            "fax_number": "785-776-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLEWOOD PHARMACY LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "HELLERICH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-776-4100"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANDLEWOOD HEALTH MART PHARMACY (LTC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.