Kansas CVS Pharmacy, L.L.C.

Primary specialty

PharmacyTaxonomy code 333600000X

License

2-09933 Issued in KS

Legal business name

KANSAS CVS PHARMACY, L.L.C.

Practice address

8200 Mission Rd
Prairie Village, KS 66208-5211

Phone

(913) 381-3300

Fax

(913) 381-8942

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Director

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CVS PHARMACY # 05261 Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Practitioners 5

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

• Nicholas Andrew Beck, PHARM.D

  • Pharmacist
  • Prairie Village, KS
  • NPI 1245953926
  NPD (past)
• Joshua Tyler Krueger, PHARM.D.

  • Pharmacist
  • Prairie Village, KS
  • NPI 1023612280
  NPD (past)
• Barbara O'Toole, RPH

  • Pharmacist
  • Prairie Village, KS
  • NPI 1003410127
  NPD (past)
• Christian Treat, PHARMD.

  • Pharmacist
  • Prairie Village, KS
  • NPI 1851996813
  NPD (past)
• Zong Hao Zhang, PHARMD

  • Pharmacist
  • Prairie Village, KS
  • NPI 1841122942
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1154425007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 MISSION RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085211",
            "telephone_number": "913-381-3300",
            "fax_number": "913-381-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CVS PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "2-09933",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200384100Z",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1716313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY # 05261",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.