Advocate Health Services, Inc.
Organization Active NPI Community/Retail Pharmacy · Atchison, KS
NPI 1558092288 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1558092288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ADVOCATE HEALTH SERVICES, INC.
- Practice address
- 800 Ravenhill Dr , Suite 101
Atchison, KS 66002-9204 - Phone
- (913) 367-1654
- Fax
- (913) 367-2589
- NPI assigned
- Jun 22, 2022
- Organization subpart
- No
Authorized official
- Name
- Jennifer Brockhoff
- Title
- President
- Phone
- (913) 360-5586
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220405001354 | KS | Part B Supplier - Pharmacy | 8628464377 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Atchison, KS; Hiawatha, KS |
| O20240312003569 | KS | DME Supplier - Pharmacy | 8628464377 | Practice locations: Atchison, KS |
National Provider Directory
- Tax ID family
- Advocate Health Services in
Locations
800 Ravenhill Dr
Ste 101
Atchison, KS 66002
Phone (913) 360-5586
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
800 Ravenhill Dr , Suite 101
Atchison, KS 66002-9204
Mailing address
800 Ravenhill Dr , Suite 101
Atchison, KS 66002-9204
Phone (913) 360-5586
Other names
- Amberwell Pharmacy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Atchison |
Other providers in Atchison, KS
- Abdel Karim Hasan Jaber Tayiem, M.D., P.a.
- Achievement Services for NE Kansas Inc
- Achievement Services for NE Kansas, Inc.
- Achievement Services for Northeast Kansas, Inc.
- Advocate Health Services, Inc.
- All Faith Counseling Center
- All Faith Counseling Center of Atchison, Inc.
- Abbey Allen
- Shannon Elizabeth Almquist
All providers in Atchison, KS · Community/Retail Pharmacy in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.