Mt Oread Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MT OREAD PHARMACY LLC

Doing business as

Jayhawk Pharmacy West

Practice address

6265 Rock Chalk Drive
LMH Health West, Suite 1401
Lawrence, KS 66049

Phone

(785) 843-0455

NPI assigned

Jun 10, 2020

Organization subpart

Yes

Parent organization

MT OREAD PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Erick W Axcell, PHARMD

Title

Pharmacist - Owner

Phone

(785) 843-0111

Specialties & licenses 2

Addresses

Other names 1

• Jayhawk Pharmacy West Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mt Oread Pharmacy LLC

  • Pharmacy
  • Lawrence, KS
  • NPI 1083834998

  O20200122000114

  Same enrollment

Tax ID family

Mt Oread Pharmacy2 organizations share this tax ID, including this one

Part of

Mt Oread Pharmacy

Other organizations with this tax ID 1

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

• Mt Oread Pharmacy LLC

  • Long Term Care Pharmacy
  • Lawrence, KS
  • NPI 1386320885
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mt Oread Pharmacy LLC

  • Pharmacy
  • Lawrence, KS
  • NPI 1083834998
  NPPES parent name

Practitioners 1

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

• William E. Axcell, PHARMACIST

  • Pharmacist
  • Lawrence, KS
  • NPI 1588665350
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1932724481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 CLINTON PKWY STE 220",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472145",
            "telephone_number": "785-843-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DRIVE",
            "address_2": "LMH HEALTH WEST, SUITE 1401",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-843-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT OREAD PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MT OREAD PHARMACY LLC",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "AXCELL",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACIST - OWNER",
        "authorized_official_telephone_number": "785-843-0111",
        "authorized_official_credential": "PHARMD"
    },
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jayhawk Pharmacy West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angel Moua
• Mountain Smiles - Heck Family Dentistry PLLC
• Cheristine Mousseau
• Mt Oread Pharmacy LLC
• Mt Oread Pharmacy LLC
• Mt. Oread Family Practice
• Amie Mueller, MS, PLPC, LPC, NCC
• Jonathan Paul Mueller, DDS
• Luke Mueller, M.D.
• Rose R Mueller, PA

• Pharmacy in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.