Active NPI
Med 4 Home Inc.
- Pharmacy
- Kansas City, MO
National Provider Identifier
1114081270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MED 4 HOME INC.
- Practice address
- 10800 N Congress Ave
Ste a
Kansas City, MO 64153-1228 - Phone
- (816) 801-7400
- Fax
- (816) 801-7300
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory McCarthy, DO
- Title
- Chief Operations Officer
- Phone
- (727) 530-7700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
10800 N Congress Ave
Ste a
Kansas City, MO 64153-1228
Mailing address
19387 US Highway 19 N
Clearwater, FL 33764-3102
Phone (800) 284-2006
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 548941 | Medicaid | IA | |
| 145877716 | Medicaid | AR | |
| 4582249 | Medicaid | TN | |
| 626167803 | Medicaid | MO | |
| 90004698 | Medicaid | KY |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
10800 N Congress Ave
Ste A
Kansas City, MO 64153
Phone (816) 801-7400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627257600000",
"number": "1114081270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19387 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337643102",
"telephone_number": "800-284-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 N CONGRESS AVE",
"address_2": "STE A",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641531228",
"telephone_number": "816-801-7400",
"fax_number": "816-801-7300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED 4 HOME INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A",
"authorized_official_last_name": "MCCARTHY",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "727-530-7700",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "548941",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145877716",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4582249",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "626167803",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90004698",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.