Alixa RX LLC
Organization Active NPI Long Term Care Pharmacy · Lenexa, KS
NPI 1316200330 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1316200330
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- ALIXA RX LLC
- Practice address
- 11286 Renner Blvd
Lenexa, KS 66219-9605 - Phone
- (972) 372-6300
- NPI assigned
- Jun 25, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- MARINA PHARMACY CORP.
Authorized official
- Name
- Michael Shamalov
- Title
- Managing Member
- Phone
- (631) 321-3850
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 6
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Alixa RX - Kansas |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in KS, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210309000169 | KS | Part B Supplier - Pharmacy | 0345474102 | Practice locations: Wichita, KS; Eskridge, KS; Springhill, KS; Olathe, KS; Lansing, KS; Edwardsville, KS |
| O20210429001113 | MO | Part B Supplier - Pharmacy | 0345474102 | Practice locations: Kansas City, MO |
| O20240412003504 | KS | DME Supplier - Pharmacy | 0345474102 | Practice locations: Lenexa, KS |
National Provider Directory
- Tax ID family
- Alixa RX LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
11286 Renner Blvd
Lenexa, KS 66219-9605
Mailing address
11286 Renner Blvd
Lenexa, KS 66219-9605
Phone (972) 372-6300
Other names
- Alixa RX
Other providers in Lenexa, KS
- Mikala Jo Alexander
- Laura Alexcites
- Alfred Gilgore Medical Associates PA
- Asma Ali
- Alicia D Ates DDS LLC
- Martha C Allega
- Reily Eileen Allen
- Melinda Alleyne
- Allied Medical Equipment, LLC
- Matthew Almaguer
All providers in Lenexa, KS · Long Term Care Pharmacy in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.