NPIMap

Organization Active NPI

Prime Healthcare Services - Kansas City, LLC

Doing business as St. Joseph Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Kansas City, MO
National Provider Identifier
1285629139
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2015004637 Issued in MO
Legal business name
PRIME HEALTHCARE SERVICES - KANSAS CITY, LLC
Doing business as
St. Joseph Outpatient Pharmacy
Practice address
1000 Carondelet Dr
Ste 120
Kansas City, MO 64114-4673
Phone
(816) 943-4879
Fax
(816) 943-4882
NPI assigned
Sep 16, 2005
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Debra Cartwright
Title
Cfo
Phone
(816) 943-2819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2015004637 MO Primary

Addresses

Primary practice location

1000 Carondelet Dr
Ste 120
Kansas City, MO 64114-4673

Mailing address

1000 Carondelet Dr
Ste 120
Kansas City, MO 64114-4673
Phone (816) 943-4879

Other identifiers 1

IdentifierTypeStateIssuer
2153994OtherPK

Other names 1

  • St. Joseph Outpatient Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Services - Kansas City LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1000 Carondelet Dr
Ste 120
Kansas City, MO 64114
Phone (816) 943-4879

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1285629139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "address_2": "STE 120",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "816-943-4879",
            "fax_number": "816-943-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "address_2": "STE 120",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "816-943-4879",
            "fax_number": "816-943-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES - KANSAS CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "CARTWRIGHT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-943-2819"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2015004637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Outpatient Pharmacy",
            "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 Nov 16, 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.