LJ3 Drug LLC
Organization Active NPI Pharmacy · Saint Marys, KS
NPI 1568328201 · NPPES record last updated Dec 26, 2025
Key facts
- NPI
- 1568328201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- LJ3 DRUG LLC
- Practice address
- 520 W Bertrand Ave
Saint Marys, KS 66536-1695 - Phone
- (785) 437-2967
- NPI assigned
- Dec 26, 2025
- Organization subpart
- No
Authorized official
- Name
- Johnathan Schlodder, PHARMD
- Title
- Pharmacist/Owner
- Phone
- (785) 338-0390
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260529001292 | KS | Part B Supplier - Pharmacy | 5092285155 | Practice locations: Saint Marys, KS |
National Provider Directory
- Tax ID family
- LJ3 Drug LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
520 W Bertrand Ave
Saint Marys, KS 66536-1695
Mailing address
520 W Bertrand Ave
Saint Marys, KS 66536-1695
Phone (785) 437-2967
Other names
- St. Marys Pharmacy
Other providers in Saint Marys, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2025. 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.