Active NPI
Philip Frederick Rellihan Jr., RPH
- Pharmacist
- Lenexa, KS
National Provider Identifier
1811109697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-11294
- Practice address
- 11131 W 79TH St
Lenexa, KS 66214 - Phone
- (816) 234-4664
- Fax
- (913) 234-4665
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-11294 | KS | Primary |
Addresses
Primary practice location
11131 W 79TH St
Lenexa, KS 66214
Mailing address
18605 E 25TH Terr CRT S
Independence, MO 64057
Phone (816) 795-6321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-11294 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811109697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18605 E 25TH TERR CRT S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "64057",
"telephone_number": "816-795-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11131 W 79TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "66214",
"telephone_number": "816-234-4664",
"fax_number": "913-234-4665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELLIHAN",
"first_name": "PHILIP",
"middle_name": "FREDERICK",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-11294",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.