Active NPI
Mt Oread Pharmacy LLC
- Long Term Care Pharmacy
- Lawrence, KS
National Provider Identifier
1386320885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MT OREAD PHARMACY LLC
- Doing business as
- Jayhawk Pharmacy LTC
Jayhawk Pharmacy West LTC - Practice address
- 6265 Rock Chalk Dr Ste 1401
Lawrence, KS 66049-5232 - Phone
- (785) 843-0455
- Fax
- (785) 424-7375
- NPI assigned
- Jun 27, 2023
- Organization subpart
- Yes
- Parent organization
- MT. OREAD PHARMACY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erick W Axcell, PHARMD
- Title
- Owner
- Phone
- (785) 843-0111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
6265 Rock Chalk Dr Ste 1401
Lawrence, KS 66049-5232
Mailing address
6265 Rock Chalk Dr Ste 1401
Lawrence, KS 66049-5232
Phone (785) 843-0455
Other names 2
- Jayhawk Pharmacy LTC
- Jayhawk Pharmacy West LTC
National Provider Directory
National Provider Directory- Tax ID family
- Mt Oread Pharmacy
- Part of
- Mt Oread Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Lawrence, KS
- NPI 1932724481
Locations
6265 Rock Chalk Dr
Unit 1401
Lawrence, KS 66049
Phone (785) 843-0455
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pharmacy
- Lawrence, KS
- NPI 1083834998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687824000000",
"number": "1386320885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6265 ROCK CHALK DR STE 1401",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660495232",
"telephone_number": "785-843-0455",
"fax_number": "785-424-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6265 ROCK CHALK DR STE 1401",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660495232",
"telephone_number": "785-843-0455",
"fax_number": "785-424-7375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT OREAD PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MT. OREAD PHARMACY, LLC",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A",
"authorized_official_last_name": "AXCELL",
"authorized_official_first_name": "ERICK",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "785-843-0111",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jayhawk Pharmacy LTC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jayhawk Pharmacy West LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.