1447375613 NPI number — TRANSMED PHARMACY INC

Table of content: (NPI 1447375613)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447375613 NPI number — TRANSMED PHARMACY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSMED PHARMACY INC
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:
Provider Other Organization Name Type Code:
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:
1447375613
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1001 E 101ST TER
Provider Second Line Business Mailing Address:
SUITE 240
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64131-3368
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-960-0353
Provider Business Mailing Address Fax Number:
816-960-0354

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 E 101ST TER
Provider Second Line Business Practice Location Address:
SUITE 240
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64131-3368
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-960-0353
Provider Business Practice Location Address Fax Number:
816-960-0354
Provider Enumeration Date:
03/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ONEILL
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
816-960-0353

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 006367 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336S0011X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 100443370B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2631693 . This is a "OTHER ID NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1447375613 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100443370A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 609805502 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 629805508 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2631693 . This is a "OTHER ID NUMBER-COMMERCIAL NUMBER" identifier . This identifiers is of the category "OTHER".




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