Active NPI
Wheel'S Pharmacy
- Community/Retail Pharmacy
- Kansas City, MO
National Provider Identifier
1174538706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 005254
- Legal business name
- WHEEL'S PHARMACY
- Practice address
- 2450 Grand Blvd
Kansas City, MO 64108-2535 - Phone
- (816) 749-4947
- Fax
- (816) 749-4947
- NPI assigned
- Jul 30, 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
- Jerome Wheeler
- Title
- Owner
- Phone
- (816) 260-6346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 005254 | MO | Primary |
Addresses
Primary practice location
2450 Grand Blvd
Kansas City, MO 64108-2535
Mailing address
2450 Grand Blvd
Kansas City, MO 64108-2535
Phone (816) 471-2017
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 605781301 | Medicaid | MO | |
| 2048939 | Other | PK |
Other names 1
- CROWN CENTER APOTHECARY
National Provider Directory
National Provider Directory- Tax ID family
- Crown Center Apothecary
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Saint Joseph, MO
- NPI 1295101038
-
- Community/Retail Pharmacy
- Saint Joseph, MO
- NPI 1417339102
-
- Community/Retail Pharmacy
- Kansas City, MO
- NPI 1467838623
Locations
2450 Grand Blvd
Kansas City, MO 64108
Phone (816) 260-6346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439510400000",
"number": "1174538706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 GRAND BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082535",
"telephone_number": "816-471-2017",
"fax_number": "816-222-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 GRAND BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082535",
"telephone_number": "816-749-4947",
"fax_number": "816-749-4947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHEEL'S PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2015-08-14",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "JEROME",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-260-6346"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "005254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "605781301",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2048939",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CROWN CENTER APOTHECARY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.