Saint Lukes South Hospital Inc
Organization Active NPI Pharmacy · Overland Park, KS
NPI 1972043271 · NPPES record last updated Dec 17, 2025
Key facts
- NPI
- 1972043271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- SAINT LUKES SOUTH HOSPITAL INC
- Practice address
- 4061 Indian Creek Pkwy
Suite 120
Overland Park, KS 66207-4030 - Phone
- (913) 323-4777
- Fax
- (913) 323-4778
- NPI assigned
- Mar 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Matthew Marino
- Title
- Cfo
- Phone
- (816) 347-4782
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 4
Practitioners 3
-
Jeffrey J Gerstner, RPH
-
Susan L Steiner, RPH
-
Lawrence A Wagner, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180731001960 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 9931183969 | Practice locations: Overland Park, KS |
National Provider Directory
- Tax ID family
- Julie a Martin MD
Locations
4061 Indian Creek Pkwy
#120
Overland Park, KS 66207
4061 Indian Creek Pkwy
Ste 120
Overland Park, KS 66207
Phone (913) 323-4777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
4061 Indian Creek Pkwy
Suite 120
Overland Park, KS 66207-4030
Mailing address
4061 Indian Creek Pkwy Ste 120
Overland Park, KS 66207-4030
Phone (913) 323-4777
Other names
- SLS Mission Farms Pharmacy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4 | Health Information Exchange (HIE) |
Other providers in Overland Park, KS
- Saint Luke'S South Hospital, Inc
- Saint Luke'S South Hospital, Inc
- Saint Lukes Northland Hospital Corporation
- Saint Lukes Physician Group Inc
- Saint Lukes Physician Group Inc
- Saint Lukes South Hospital, Inc.
- Saint Lukes South Hospital, Inc.
- Saint Lukes South Pain Management Center LLC
- Saint Lukes South Surgery Center LLC
- Hisako Sakuraba
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 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.