NPIMap

Organization Active NPI

Aetna RX Home Delivery, LLC

  • Mail Order Pharmacy
  • Kansas City, MO
National Provider Identifier
1699925271
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
2008004615 Issued in MO
Legal business name
AETNA RX HOME DELIVERY, LLC
Practice address
11500 NW Ambassador Drive
1St Floor
Kansas City, MO 64153
Phone
(816) 891-8019
Fax
(816) 880-7200
NPI assigned
Sep 19, 2008
Last updated
Sep 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Ms. Mary C Fox
Title
President
Phone
(860) 273-9664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 2008004615 MO Primary

Addresses

Primary practice location

11500 NW Ambassador Drive
1St Floor
Kansas City, MO 64153

Mailing address

11500 NW Ambassador Drive
1St Floor
Kansas City, MO 64153
Phone (816) 891-8019

National Provider Directory

National Provider Directory
Tax ID family
Aetna RX Home Delivery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1699925271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NW AMBASSADOR DRIVE",
            "address_2": "1ST FLOOR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64153",
            "telephone_number": "816-891-8019",
            "fax_number": "816-880-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 NW AMBASSADOR DRIVE",
            "address_2": "1ST FLOOR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64153",
            "telephone_number": "816-891-8019",
            "fax_number": "816-880-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETNA RX HOME DELIVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-273-9664",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MO",
            "license": "2008004615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.