NPIMap

Organization Active NPI

Kansas City Care Clinic

Doing business as KC CARE Health Center

  • Pharmacy
  • Kansas City, MO
National Provider Identifier
1376905216
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2016006896 Issued in MO
Legal business name
KANSAS CITY CARE CLINIC
Doing business as
KC CARE Health Center
Kansas City CARE Clinic
Practice address
3515 Broadway Blvd
Kansas City, MO 64111-2537
Phone
(816) 777-2709
Fax
(816) 777-1544
NPI assigned
Mar 21, 2016
Last updated
May 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
Mr. Thomas Wilson Franklin
Title
President and Ceo
Phone
(816) 777-2763

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2016006896 MO Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

3515 Broadway Blvd
Kansas City, MO 64111-2537

Mailing address

3515 Broadway Blvd
Kansas City, MO 64111-2537
Phone (816) 777-2709

Other identifiers 1

IdentifierTypeStateIssuer
2158951OtherPK

Other names 2

  • KC CARE Health Center Doing business as
  • Kansas City CARE Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kansas City Care Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3515 Broadway Blvd
Kansas City, MO 64111
Phone (816) 753-5144

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1376905216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112537",
            "telephone_number": "816-777-2709",
            "fax_number": "816-777-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112537",
            "telephone_number": "816-777-2709",
            "fax_number": "816-777-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "816-777-2763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2016006896",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC CARE Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kansas City CARE Clinic",
            "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 May 21, 2019; 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.