Organization Active NPI

Axivarx of Kansas, LLC

  • Home Infusion Therapy Pharmacy
  • Lenexa, KS
National Provider Identifier
1801379003
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
AXIVARX OF KANSAS, LLC
Practice address
11425 Strang Line Rd
Lenexa, KS 66215-4047
Phone
(913) 355-5600
Fax
(913) 355-5601
NPI assigned
Sep 13, 2018
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Colleen S Shapiro
Title
President
Phone
(844) 442-9482

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Home Infusion Therapy Pharmacy 3336H0001X NU Primary

Addresses

Primary practice location

11425 Strang Line Rd
Lenexa, KS 66215-4047

Mailing address

11425 Strang Line Rd
Lenexa, KS 66215-4047
Phone (913) 355-5600

Other identifiers 2

IdentifierTypeStateIssuer
2-109994OtherKSBOARD OF PHARMACY
20187560AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200512000074 KS Part B Supplier - Pharmacy 1951732742 Practice locations: Lenexa, KS
O20200618000579 KS DME Supplier - Pharmacy 1951732742 Practice locations: Lenexa, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Axivarx of Kansas, LLC11425 Strang Line Rd, Lenexa, KS 66215-4047(844) 442-9482 Infusion Drugs|External Infusion Pumps and/or Supplies Does not accept assignmentParticipating since May 1, 2020

National Provider Directory

National Provider Directory

Locations

11425 Strang Line Rd
Lenexa, KS 66215
Phone (913) 355-5600

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1801379003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 STRANG LINE RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154047",
            "telephone_number": "913-355-5600",
            "fax_number": "913-355-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 STRANG LINE RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154047",
            "telephone_number": "913-355-5600",
            "fax_number": "913-355-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIVARX OF KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-442-9482"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "2-109994",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20187560A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.