Organization Active NPI

Senior RX Care of Kansas LLC

  • Long Term Care Pharmacy
  • Topeka, KS
National Provider Identifier
1316107162
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
210188 Issued in KS
Legal business name
SENIOR RX CARE OF KANSAS LLC
Doing business as
Senior RX Care of Kansas LLC
Practice address
121 SE 6TH Ave Ste 1
Topeka, KS 66603-3508
Phone
(877) 232-4601
Fax
(877) 234-1412
NPI assigned
Jun 16, 2008
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Matthew Hayden
Title
Exec Director
Phone
(785) 250-2920

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X 210188 KS Primary

Addresses

Primary practice location

121 SE 6TH Ave Ste 1
Topeka, KS 66603-3508

Mailing address

121 SE 6TH Ave Ste 1
Topeka, KS 66603-3508
Phone (877) 232-4601

Other identifiers 2

IdentifierTypeStateIssuer
2027876OtherPK
200554760AMedicaidKS

Other names 1

  • SENIOR RX CARE OF KANSAS LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171024001179 KS DME Supplier - Pharmacy 9931474350 Practice locations: Topeka, KS
O20201118000492 KS Part B Supplier - Pharmacy 9931474350 Practice locations: Topeka, KS

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Senior RX Care of Kansas LLC121 SE 6TH Ave, Topeka, KS 66603-3516(877) 232-4601 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 9, 2017

National Provider Directory

National Provider Directory

Locations

121 SE 6th Ave
Topeka, KS 66603
Phone (877) 212-4601

121 SE 6th Ave
Ste 1
Topeka, KS 66603
Phone (877) 232-4601

Practitioners & affiliated clinicians

Practitioners 9

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": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1316107162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SE 6TH AVE STE 1",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666033508",
            "telephone_number": "877-232-4601",
            "fax_number": "877-234-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SE 6TH AVE STE 1",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666033508",
            "telephone_number": "877-232-4601",
            "fax_number": "877-234-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR RX CARE OF KANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "785-250-2920"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "210188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2027876",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200554760A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIOR RX CARE OF KANSAS LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SENIOR RX CARE OF KANSAS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.