Organization Active NPI

Omnicare Pharmacy of the Midwest, LLC

Doing business as Omnicare of Kansas City

  • Long Term Care Pharmacy
  • Kansas City, MO
National Provider Identifier
1326150533
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
OMNICARE PHARMACY OF THE MIDWEST, LLC
Doing business as
Omnicare of Kansas City
Omnicare of Kansas City #48285
Practice address
10400 Hickman Mills Dr
Suite 200
Kansas City, MO 64137-1603
Phone
(800) 285-8604
Fax
(816) 941-6971
NPI assigned
Sep 1, 2006
Last updated
Mar 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Susan Colbert
Title
Sr Director, Payer Relations
Phone
(401) 770-2751

Specialties & licenses 1

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

Addresses

Primary practice location

10400 Hickman Mills Dr
Suite 200
Kansas City, MO 64137-1603

Mailing address

1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146

Other names 2

  • Omnicare of Kansas City Doing business as
  • Omnicare of Kansas City #48285 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930025312 MO DME Supplier - Pharmacy 5799802070 Practice locations: Kansas City, MO
O20231027001441 MO Part B Supplier - Mass Immunization (Roster Biller Only) 5799802070 Practice locations: Kansas City, MO

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
Omnicare of Kansas City #4828510400 Hickman Mills Dr, Kansas City, MO 64137-1620(816) 942-2800 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10400 Hickman Mills Dr
Ste 200
Kansas City, MO 64137
Phone (800) 285-8604

10400 Hickman Mills Dr
#C
Kansas City, MO 64137
Phone (816) 942-2800

Practitioners & affiliated clinicians

Practitioners 2

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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1326150533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 HICKMAN MILLS DR",
            "address_2": "SUITE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641371603",
            "telephone_number": "800-285-8604",
            "fax_number": "816-941-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE PHARMACY OF THE MIDWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Kansas City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omnicare of Kansas City #48285",
            "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 Mar 4, 2019; 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.