Healthcore Clinic Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HEALTHCORE CLINIC INC

Practice address

2707 E 21St St N Ste 201
Wichita, KS 67214-2249

Phone

(316) 768-5922

Fax

(316) 652-0331

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Teresa Lovelady

Title

Ceo

Phone

(316) 691-0249

Specialties & licenses 2

Addresses

Other names 1

• HealthCore Community Pharmacy Doing business as

Tax ID family

Healthcore Clinic Inc2 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.

• Healthcore Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1962325308
  NPD tax ID

Locations

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1477062891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142249",
            "telephone_number": "316-691-0249",
            "fax_number": "877-544-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E 21ST ST N STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142249",
            "telephone_number": "316-768-5922",
            "fax_number": "316-652-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCORE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "LOVELADY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-691-0249"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCore Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Health Atlast Wichita LLC
• Health Services Kansas LLC
• Healthback Home Health of Kansas, Inc.
• Healthcare of Witchita, LLC
• Healthcore Clinic Inc
• Healthcore Clinic Inc
• Healthgate Teams, PA
• Healthpro Heritage Rehab & Fitness, LLC
• Healthy Green Nutrition, LLC
• Healthy Options for Kansas Communities (Hop), Inc.

• All providers in Wichita, KS
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.