Kansas City Cancer Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-09763 Issued in KS

Legal business name

KANSAS CITY CANCER CENTER

Doing business as

Kansas City Cancer Center

Practice address

12200 W 110TH St
Overland Park, KS 66210-4045

Phone

(913) 234-0475

Fax

(913) 234-0570

NPI assigned

Feb 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Hennessy

Title

Practice Director

Phone

(913) 541-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kansas City Cancer Center Doing business as

Tax ID family

Kansas City Cancer Center2 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.

• Kansas City Cancer Centers East

  • Clinic Pharmacy
  • Lee's Summit, MO
  • NPI 1063423572
  NPD tax ID

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417090275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 INDIAN CREEK PKWY",
            "address_2": "BUILDING 9 SUITE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102002",
            "telephone_number": "913-541-4600",
            "fax_number": "913-577-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104045",
            "telephone_number": "913-234-0475",
            "fax_number": "913-234-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENNESSY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "913-541-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-09763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1717644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kansas City Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Nyakio Kaniu, LPC
• Kansas Anesthesiology Professionals PA
• Kansas Center for Couples and Families
• Kansas City Allergy & Asthma Associates P a
• Kansas City Bone & Joint Clinic PA
• Kansas City Cancer Center, LLC
• Kansas City Cardiac Arrhythmia
• Kansas City Center for Anxiety Treatment, P.a.
• Kansas City Cleft and Craniofacial Center PA
• Kansas City Counseling, LLC

• Community/Retail Pharmacy in Overland Park, KS
• Providers in Overland Park, 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 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.