NPIMap

Jayhawk Pharmacy Services at Mission Woods Inc

Organization Active NPI Community/Retail Pharmacy · Topeka, KS

NPI 1104852672 · NPPES record last updated Apr 19, 2023

Key facts

NPI
1104852672
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
2-09401 (KS)
Legal business name
JAYHAWK PHARMACY SERVICES AT MISSION WOODS INC
Practice address
2860 SW Mission Woods Dr
Topeka, KS 66614-5646
Phone
(785) 228-9700
Fax
(785) 228-1375
NPI assigned
Jun 24, 2006
Organization subpart
No

Authorized official

Name
Michael Conlin, RPH NPI 1528651890
Title
Owner
Phone
(785) 228-9700

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same tax ID) 1

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

Practitioners 14

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2197459Jayhawk Pharmacy and Patient Supply
2860 SW Mission Woods Dr., Topeka, KS 66614		Certificate of waiverOct 25, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Jayhawk Pharmacy and Patient Supply
2860 SW Mission Woods Dr, Topeka, KS 66614-5646 · (785) 228-9700		 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Surgical Dressings Does not accept assignment
Participating since Jun 10, 2003

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930084978 KS DME Supplier - Pharmacy
DME Supplier - Medical Supply Company With Pedorthic Personnel
DME Supplier - Pedorthic Personnel
DME Supplier - Medical Supply Company With Respiratory Therapist
DME Supplier - Oxygen & Equipment
DME Supplier - Medical Supply Company With Registered Pharmacist
DME Supplier - Medical Supply Company With Prosthetic Personnel		 0345282919 Practice locations: Topeka, KS
O20171002002034 KS Part B Supplier - Pharmacy 0345282919 Practice locations: Topeka, KS

National Provider Directory

Tax ID family
Jayhawk Pharmacy Services at Mission Woods Inc (2 organizations share this tax ID)

Locations

2620 SW 6th Ave
Topeka, KS 66606
Phone (785) 235-9700

2620 SW 6th Ave
Ste E
Topeka, KS 66606

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X
Community/Retail Pharmacy 3336C0003X 2-09401 KS Yes

Addresses

Primary practice location

2860 SW Mission Woods Dr
Topeka, KS 66614-5646

Mailing address

2860 SW Mission Woods Dr
Topeka, KS 66614-5646
Phone (785) 228-9700

Other identifiers

IdentifierTypeStateIssuer
1716248OtherKSNCPDP NUMBER
2-09401OtherKSSTATE PHARMACY LICENSE
100442610BMedicaidKS
100442610CMedicaidKS

Other names

  • Jayhawk Pharmacy & Patient Supply Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 19, 2023.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1104852672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 SW MISSION WOODS DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145646",
            "telephone_number": "785-228-9700",
            "fax_number": "785-228-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 SW MISSION WOODS DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145646",
            "telephone_number": "785-228-9700",
            "fax_number": "785-228-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYHAWK PHARMACY SERVICES AT MISSION WOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "CONLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-228-9700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-09401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1716248",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "2-09401",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100442610B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100442610C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jayhawk Pharmacy & Patient Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

All providers in Topeka, KS · Community/Retail Pharmacy in Kansas

Sources for this page

Verify at the official NPI Registry.