NPIMap

Organization Active NPI

Saint Lukes South Hospital Inc

Doing business as SLS Mission Farms Pharmacy

  • Pharmacy
  • Overland Park, KS
National Provider Identifier
1972043271
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SAINT LUKES SOUTH HOSPITAL INC
Doing business as
SLS Mission Farms Pharmacy
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
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Matthew Marino
Title
Cfo
Phone
(816) 347-4782

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
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 1

  • SLS Mission Farms Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180731001960 KS Part B Supplier - Mass Immunization (Roster Biller Only) 9931183969 Practice locations: Overland Park, KS

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Julie a Martin MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1972043271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 INDIAN CREEK PKWY STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074030",
            "telephone_number": "913-323-4777",
            "fax_number": "913-323-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 INDIAN CREEK PKWY",
            "address_2": "SUITE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074030",
            "telephone_number": "913-323-4777",
            "fax_number": "913-323-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES SOUTH HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-347-4782"
    },
    "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": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4061 Indian Creek Pkwy",
            "address_2": "Suite 120",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662074030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SLS Mission Farms Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SLS Mission Farms Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.