1609159409 NPI number — THE UNIVERSITY OF KANSAS HOSPITAL

Table of content: (NPI 1609159409)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609159409 NPI number — THE UNIVERSITY OF KANSAS HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE UNIVERSITY OF KANSAS HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CANCER CENTER PHARMACY SHAWNEE MISSION
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609159409
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ATTN RETAIL PHARMACY SHAWNEE MISSION
Provider Second Line Business Mailing Address:
9200 INDIAN CREEK PRKWY, BUILDING 9, SUITE 300
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66210
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-541-4651
Provider Business Mailing Address Fax Number:
913-577-5851

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9301 W 74TH ST STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHAWNEE MISSION
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66204-2217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-749-4441
Provider Business Practice Location Address Fax Number:
913-433-7670
Provider Enumeration Date:
09/28/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
ALISON
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACY SERVICES MANAGER
Authorized Official Telephone Number:
913-541-4651

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  2-10337 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1720336 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".




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