Organization Active NPI

Pharmacy of Grace Inc.

  • Community/Retail Pharmacy
  • Shawnee, KS
National Provider Identifier
1134099047
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACY OF GRACE INC.
Practice address
11644 W 75TH St Ste 104
Shawnee, KS 66214-1300
Phone
(913) 953-8260
Fax
(913) 953-8268
NPI assigned
Nov 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Michael Craig Fink, RPH, PHARM.D.NPI 1003032889
Title
VP of Clinical Operations
Phone
(913) 953-8260

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

11644 W 75TH St Ste 104
Shawnee, KS 66214-1300

Mailing address

721 N 31St St Ste 100
Kansas City, KS 66102-3972
Phone (913) 953-8260

Other names 1

  • Pharmacy of Grace Shawnee Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2344412Pharmacy of Grace Shawnee11644 W 75TH St, Ste 104, Shawnee, KS 66214Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy of Grace2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

11644 W 75th St
Ste 104
Shawnee, KS 66214
Phone (913) 953-8260

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": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1134099047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N 31ST ST STE 100",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023972",
            "telephone_number": "913-953-8260",
            "fax_number": "913-953-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11644 W 75TH ST STE 104",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662141300",
            "telephone_number": "913-953-8260",
            "fax_number": "913-953-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OF GRACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "VP OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "913-953-8260",
        "authorized_official_credential": "RPH, PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy of Grace Shawnee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.