Organization Active NPI

Mobile Med Care Inc

  • Pharmacy
  • Lenexa, KS
National Provider Identifier
1316931215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MOBILE MED CARE INC
Practice address
14306 W 100TH St
Lenexa, KS 66215-1236
Phone
(913) 492-1800
Fax
(913) 438-5625
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dan Sims
Title
Owner
Phone
(913) 492-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X KS Primary

Addresses

Primary practice location

14306 W 100TH St
Lenexa, KS 66215-1236

Mailing address

14306 W 100TH St
Lenexa, KS 66215-1236
Phone (913) 492-1800

Other identifiers 2

IdentifierTypeStateIssuer
118005OtherKSKS B/C BLUE SHIELD
118045OtherKSKS B/C BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Mobile Med Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

14306 W 100th St
Lenexa, KS 66215
Phone (913) 492-1800

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316931215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14306 W 100TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151236",
            "telephone_number": "913-492-1800",
            "fax_number": "913-438-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14306 W 100TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151236",
            "telephone_number": "913-492-1800",
            "fax_number": "913-438-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-492-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS B/C BLUE SHIELD",
            "identifier": "118005",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS B/C BLUE SHIELD",
            "identifier": "118045",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.