Organization Active NPI

Rush County Pharmacy LLC

  • Community/Retail Pharmacy
  • La Crosse, KS
National Provider Identifier
1679920698
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Lisa E Flax, RPHNPI 1942718507
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)CodeLicenseStatePrimary
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 KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2183945Rush County Pharmacy708 Main Street, La Crosse, KS 67548Certificate of waiverMay 11, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rush County Pharmacy708 Main St, La Crosse, KS 67548-8405(785) 222-9091 Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 14, 2016

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.