Organization Active NPI

Wheel'S Pharmacy

  • Community/Retail Pharmacy
  • Kansas City, MO
National Provider Identifier
1174538706
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
005254 Issued in MO
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

Updated by the provider on Aug 14, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
605781301MedicaidMO
2048939OtherPK

Other names 1

  • CROWN CENTER APOTHECARY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crown Center Apothecary4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

Verify at the official NPI Registry.