Active NPI
Rush County Pharmacy LLC
- Community/Retail Pharmacy
- La Crosse, KS
National Provider Identifier
1679920698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RUSH COUNTY PHARMACY LLC
- Practice address
- 708 Main St
La Crosse, KS 67548 - Phone
- (785) 222-9091
- Fax
- (785) 222-9096
- NPI assigned
- May 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa E Flax, RPH
- Title
- Pharmacist in Charge
- Phone
- (785) 222-9091
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | KS | Primary | |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
708 Main St
La Crosse, KS 67548
Mailing address
PO Box 100
708 Main Street
La Crosse, KS 67548-0100
Phone (785) 222-9091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170316002706 | KS | DME Supplier - Pharmacy | 6406131283 | Practice locations: La Crosse, KS |
| O20250213003522 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 6406131283 | Practice locations: La Crosse, KS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2183945 | Rush County Pharmacy | Certificate of waiver | May 11, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rush County Pharmacy | Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Ness City, KS
- NPI 1942718507
-
- Pharmacist
- Wichita, KS
- NPI 1154735652
-
- Pharmacist
- Ness City, KS
- NPI 1215445978
-
- Pharmacist
- Lacrosse, KS
- NPI 1821598889
-
- Pharmacist
- La Crosse, KS
- NPI 1497197040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1679920698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"address_2": "708 MAIN STREET",
"city": "LA CROSSE",
"state": "KS",
"postal_code": "675480100",
"telephone_number": "785-222-9091",
"fax_number": "785-222-9096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 MAIN ST",
"city": "LA CROSSE",
"state": "KS",
"postal_code": "67548",
"telephone_number": "785-222-9091",
"fax_number": "785-222-9096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSH COUNTY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-19",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "FLAX",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "785-222-9091",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.