Active NPI
Saint Lukes East Hospital
Doing business as Saint Luke's East Hospital Outpatient Pharmacy
- Pharmacy
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- SAINT LUKES EAST HOSPITAL
- Doing business as
- Saint Luke's East Hospital Outpatient Pharmacy
- Practice address
- 100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000 - Phone
- (816) 347-4750
- Fax
- (816) 347-5220
- NPI assigned
- Dec 10, 2010
- Last updated
- Dec 17, 2025
- Organization subpart
- Yes
- Parent organization
- SAINT LUKES EAST HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew L Marino
- Title
- Cfo
- Phone
- (816) 347-5000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | 2005037768 | MO |
Addresses
Primary practice location
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Mailing address
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 251-5590
Other names 1
- Saint Luke's East Hospital Outpatient Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4 | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181214001076 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 9234151259 | Practice locations: Lees Summit, MO |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
9234151259
National Provider Directory
National Provider Directory- Tax ID family
- Saint Lukes East Hospital
- Part of
- Saint Lukes East Hospital
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba saint Luke's East-Lee's Summit
- Nutrition Education Nutritionist
- Lee's Summit, MO
- NPI 1942378351
-
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1861106353
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Kansas City, MO
- NPI 1801031414
Member Of
-
- Ambulatory Surgical Clinic/Center
- Lee's Summit, MO
- NPI 1164486809
Member Of
Locations
20 NE Saint Lukes Blvd
Ste 110
Lees Summit, MO 64086
Phone (816) 554-4848
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Radiation Oncology Physician
- Coeur d'Alene, ID
- NPI 1760543755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1114220399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NE SAINT LUKES BLVD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866000",
"telephone_number": "816-251-5590",
"fax_number": "816-347-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NE SAINT LUKES BLVD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866000",
"telephone_number": "816-347-4750",
"fax_number": "816-347-5220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT LUKES EAST HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAINT LUKES EAST HOSPITAL",
"enumeration_date": "2010-12-10",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "MARINO",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "816-347-5000"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "2005037768",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 NE Saint Lukes Blvd",
"city": "Lees Summit",
"state": "MO",
"country_code": "US",
"postal_code": "640866000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Saint Luke's East Hospital Outpatient Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Saint Luke's East Hospital Outpatient Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lee's Summit, MO
- Brittany Rene Sage
- Saint Luke's East Hospital (Saint Luke's East-Lee's Summit)
- Saint Luke's East Hospital (saint Luke's East-Lee's Summit)
- Saint Luke's Surgicenter - Lee's Summit
- Saint Lukes East Hospital (Saint Luke's East Lee's Summit Hospital)
- Saint Lukes East Hospital
- Jillian Salanski, MS, LPC
- Stephen Salanski, MD
- Brenda Sue Salazar, APRN
- Laura Christine Salitros, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.