Kansas CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

KANSAS CVS PHARMACY LLC

Practice address

6510 Nieman Rd
Shawnee, KS 66203-3328

Phone

(913) 248-0437

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Cristiana Mauricio

Title

Manager Pharmacy Enrollments

Phone

(401) 770-2937

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY#08580 Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Kansas CVS Pharmacy LLC48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Kansas City, KS
  • NPI 1013099258
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Olathe, KS
  • NPI 1053418541
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Olathe, KS
  • NPI 1063435386
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Junction City, KS
  • NPI 1063843654
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Overland Park, KS
  • NPI 1093756991
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Overland Park, KS
  • NPI 1093759466
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Shawnee, KS
  • NPI 1093974529
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Wichita, KS
  • NPI 1184646820
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Overland Park, KS
  • NPI 1184665085
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Wichita, KS
  • NPI 1245651033
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Overland Park, KS
  • NPI 1356363097
  NPD tax ID
• Kansas CVS Pharmacy LLC

  • Pharmacy
  • Shawnee, KS
  • NPI 1366464000
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Practitioners 2

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

• Jonathan Murray

  • Pharmacist
  • Shawnee, KS
  • NPI 1689397838
  NPD (past)
• Parool Patel

  • Pharmacist
  • Shawnee, KS
  • NPI 1619541141
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1902847809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033328",
            "telephone_number": "913-248-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "CRISTIANA",
        "authorized_official_title_or_position": "MANAGER PHARMACY ENROLLMENTS",
        "authorized_official_telephone_number": "401-770-2937"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1718824",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY#08580",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Kagua
• Emerson Ryan Kaiser
• Kansas City Vamc
• Kansas CVS Pharmacy LLC
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• Kansas Dental Elements LLC
• Kansas University Physicians, Inc.
• Haylie Karaffa
• Ivry Karamitros
• Micah Stewart Karl, M.S., CCC-SLP/ECSE

• All providers in Shawnee, KS
• Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.