NPIMap

Organization Active NPI

Ascension Pharmacy Services, LLC.

  • Long Term Care Pharmacy
  • Wichita, KS
National Provider Identifier
1245059161
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ASCENSION PHARMACY SERVICES, LLC.
Practice address
775 N Edwards Ave
Wichita, KS 67203-4937
Phone
(316) 858-1111
NPI assigned
Oct 8, 2024
Organization subpart
Yes
Parent organization
ASCENSION HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Michael Born
Title
Pharmacy Director
Phone
(815) 592-9705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

775 N Edwards Ave
Wichita, KS 67203-4937

Mailing address

1363 W Cap Cir
Bourbonnais, IL 60914-5113
Phone (815) 592-9705

Other names 1

  • Ascension Rx 2400 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ascension RX 27006 organizations share this tax ID, including this one
Part of
Ascension Health

Other organizations with this tax ID 5

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

Locations

775 N Edwards Ave
Wichita, KS 67203
Phone (316) 847-2875

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": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1245059161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 W CAP CIR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145113",
            "telephone_number": "815-592-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 N EDWARDS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034937",
            "telephone_number": "316-858-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION PHARMACY SERVICES, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION HEALTH",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "BORN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "815-592-9705"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Rx 2400",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension Rx 2400",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.