NPIMap

Organization Active NPI

Lawrence Memorial Hospital

Doing business as LMH Health System Pharmacy

  • Pharmacy
  • Lawrence, KS
National Provider Identifier
1083012827
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LAWRENCE MEMORIAL HOSPITAL
Doing business as
LMH Health System Pharmacy
Practice address
325 Maine St Ste 250
Lawrence, KS 66044-1360
Phone
(785) 505-2240
Fax
(785) 505-6417
NPI assigned
Dec 10, 2014
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LAWRENCE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Vixen Deines, PHARMD, BCPS
Title
Pharmacist in Charge
Phone
(785) 505-2245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

325 Maine St Ste 250
Lawrence, KS 66044-1360

Mailing address

325 Maine St Ste 250
Lawrence, KS 66044-1360
Phone (785) 505-2240

Other names 1

  • LMH Health System Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150804005601 KS Part B Supplier - Pharmacy 9335057553 Practice locations: Lawrence, KS
O20150826000802 KS Part B Supplier - Mass Immunization (Roster Biller Only) 9335057553 Practice locations: Lawrence, KS

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lawrence Family Care7 organizations share this tax ID, including this one
Part of
Lawrence Family Care

Other organizations with this tax ID 6

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

Locations

820 Ames St
Baldwin City, KS 66006
Phone (785) 505-6423

101 W 10th St
Eudora, KS 66025
Phone (785) 542-2118

600 E 20th St
Ste 100
Eudora, KS 66025
Phone (785) 505-5979

100 Rock Chalk Ln
#100
Lawrence, KS 66049
Phone (785) 505-5840

1130 W 4th St
Ste 2051
Lawrence, KS 66044
Phone (785) 856-8346

1130 W 4th St
Ste 3201
Lawrence, KS 66044
Phone (785) 505-5885

325 Maine St
Ste 25
Lawrence, KS 66044
Phone (785) 505-2240

330 Arkansas St
Ste 205
Lawrence, KS 66044
Phone (785) 505-5045

330 Arkansas St
Ste 220
Lawrence, KS 66044
Phone (785) 830-8324

3500 Clinton Pl
Lawrence, KS 66047
Phone (785) 505-3780

4525 W 6th St
Ste 100
Lawrence, KS 66049
Phone (785) 505-5160

6265 Rock Chalk Dr
Unit 1700
Lawrence, KS 66049
Phone (785) 838-7885

6265 Rock Chalk Dr
Unit 2200
Lawrence, KS 66049
Phone (785) 505-3720

410 Woodfield Dr
Ste 100
Tonganoxie, KS 66086
Phone (913) 845-1553

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Medicine of Baldwin CityBaldwin City, KS, CCN 178655 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Lawrence Physicians LLC

    dba LMH Health Primary Care - Baldwin City

    • Family Medicine Physician
    • Baldwin City, KS
    • NPI 1982011136

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1083012827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE ST STE 250",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441360",
            "telephone_number": "785-505-2240",
            "fax_number": "785-505-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAINE ST STE 250",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441360",
            "telephone_number": "785-505-2240",
            "fax_number": "785-505-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAWRENCE MEMORIAL HOSPITAL",
        "enumeration_date": "2014-12-10",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "DEINES",
        "authorized_official_first_name": "VIXEN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "785-505-2245",
        "authorized_official_credential": "PHARMD, BCPS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMH Health System Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.