Anderis Apothecary LLC
Organization Active NPI Community/Retail Pharmacy · Topeka, KS
NPI 1770809253 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1770809253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 210311 (KS)
- Legal business name
- ANDERIS APOTHECARY LLC
- Practice address
- 601 SW Corporate VW
Topeka, KS 66615-1244 - Phone
- (785) 271-8000
- Fax
- (785) 271-8001
- NPI assigned
- Apr 9, 2010
- Organization subpart
- No
Authorized official
- Name
- Lesley Harris, RPH
- Title
- LLC Member/Pharmacist
- Phone
- (785) 364-2114
Corporate family (same tax ID) 1
Practitioners 3
-
Stacy Marie Duis, PHARMD
-
Joseph P Gilliland, PHARM. D.
-
Lesley Harris, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200520000568 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 2961833264 | Practice locations: Topeka, KS |
National Provider Directory
- Tax ID family
- Anderis Apothecary LLC
Locations
601 SW Corporate Vw
Ste 21
Topeka, KS 66615
Phone (785) 271-8000
601 SW Corporate Vw
Ste 210
Topeka, KS 66615
Phone (785) 271-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 210311 | KS | Yes |
Addresses
Primary practice location
601 SW Corporate VW
Topeka, KS 66615-1244
Mailing address
601 SW Corporate VW
Topeka, KS 66615-1244
Phone (785) 271-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126603 | Other | PK | |
| 200673101A | Medicaid | KS |
Other names
- Tallgrass Pharmacy
Other providers in Topeka, KS
- Beverly Ann Amyotte
- Ana Collazo, Lscsw, LLC
- Anaif Counseling and Assessment Services
- Cassandra Nicole Ancharski
- Anderis Apothecary LLC
- Anderson Taylor Mental Health Corporation
- Alexis K Anderson
- Annelle Anderson
- Brad Lee Anderson
- Catherine J Anderson
All providers in Topeka, 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 Jan 14, 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.