Organization Active NPI

Midwest Compounders, Inc

  • Compounding Pharmacy
  • Lenexa, KS
National Provider Identifier
1043421910
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
2-10093 Issued in KS
Legal business name
MIDWEST COMPOUNDERS, INC
Practice address
13330 Santa Fe Trail Drive
Lenexa, KS 66215
Phone
(913) 498-2121
Fax
(913) 498-2785
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Dr. Troy S Delong, PHARMD
Title
Owner, Pic
Phone
(913) 498-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 2-10093 KS Primary

Addresses

Primary practice location

13330 Santa Fe Trail Drive
Lenexa, KS 66215

Mailing address

13330 Santa Fe Trail Drive
Lenexa, KS 66215
Phone (913) 498-2121

Other names 1

  • Midwest Compounders Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1043421910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 SANTA FE TRAIL DRIVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-498-2121",
            "fax_number": "913-498-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 SANTA FE TRAIL DRIVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-498-2121",
            "fax_number": "913-498-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COMPOUNDERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "913-498-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "KS",
            "license": "2-10093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Compounders Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.