Pharmacy of Grace Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACY OF GRACE INC.

Practice address

721 N 31St St
Kansas City, KS 66102-3962

Phone

(913) 953-8260

Fax

(913) 953-8268

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michael Craig Fink, PHARM.D.NPI 1003032889

Title

Pharmacist-in-Charge

Phone

(913) 244-9409

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pharmacy of Grace Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pharmacy of Grace2 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.

• Pharmacy of Grace Inc.

  • Community/Retail Pharmacy
  • Shawnee, KS
  • NPI 1134099047
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Craig Fink, PHARM.D.

  • Pharmacist
  • Kansas City, KS
  • NPI 1003032889
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1396498697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N 31ST ST STE 100",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023972",
            "telephone_number": "913-953-8260",
            "fax_number": "913-953-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N 31ST ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023962",
            "telephone_number": "913-953-8260",
            "fax_number": "913-953-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OF GRACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "913-244-9409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004794680001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy of Grace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noah Peyton
• Sarah L Pfannenstiel, APRN
• Andrew Neil Pfeffer, M.D.
• Julie Pham, DO
• Stephanie Pham, MD
• Heather Phelps, MPT
• Anna Maysel Phenny, LPC
• Christina J Phillips, MSN-FNP
• Kristi Phillips
• Laura Phillips, PA-C

• Community/Retail Pharmacy in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.