KANSAS CITY CARE CLINIC (NPI# 1376905216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376905216 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY CARE CLINIC |
| Other Organization Name | KANSAS CITY CARE CLINIC |
| Practice Address |
3515 Broadway Blvd Kansas City MO 64111-2537 |
| Practice Telephone | 8167772709 |
| Practice Fax Number | 8167771544 |
| Mailing Telephone | 8167772709 |
| Mailing Fax Number | 8167771544 |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | MR. THOMAS WILSON FRANKLIN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8167772763 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 2016006896 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2158951 | 01 |
| Other Name | Type Code |
|---|---|
| Kansas City CARE Clinic | Doing Business As Name - Organization |
| KC CARE Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271431 | Kansas City Care Clinic | Clinic/Center | 1106 E 30th St Ste B, Kansas City, MO 64109-1507 | 2019-05-21 |
| 1952649444 | Kansas City Care Clinic | Clinic/Center | 3515 Broadway Street, Kansas City, MO 64111 | 2013-01-18 |
| 1770024663 | Kansas City Care Clinic | Clinic/Center | 4601 Independence Ave, Kansas City, MO 64124 | 2017-03-13 |
| 1396101317 | Kansas City Care Clinic | Clinic/Center | 2340 E Meyer Blvd Ste 200, Kansas City, MO 64132-1121 | 2016-01-06 |
| 1215273388 | Kansas City Care Clinic | Clinic/Center | 3515 Broadway Blvd, Kansas City, MO 64111 | 2012-12-18 |
| Street Address |
3515 BROADWAY BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073537742 | Chris W Craemer | Family Medicine | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2006-07-27 |
| 1497367379 | Denita Hoard | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2020-08-20 |
| 1487281580 | Allison Jane Cushing | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2020-03-26 |
| 1528619988 | Jennifer Rebecca Taylor | Counselor | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2019-09-26 |
| 1952956252 | Jacquelyn Bradley | Pharmacist | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2019-08-05 |
| 1699236901 | Emma Ann Windham | Physician Assistant | 3515 Broadway Blvd, Kansas City, MO 64111 | 2019-03-28 |
| 1053876292 | Sarah Elizabeth Cirese-payton | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2019-02-01 |
| 1588157986 | Whitney Elaine Wilson | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2018-06-11 |
| 1912423658 | Jennifer Nichole Cooper Nobo | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2017-08-15 |
| 1346775202 | Heather Buehrer | Pharmacist | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2017-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538726880 | University of Kansas Hospital Authority | Pharmacy | 901 N 5th St, Kansas City, KS 66101-2907 | 2019-05-22 |
| 1184167876 | Cerner Health Connections Inc | Pharmacy | 8779 Hillcrest, Building 1024.1, Kansas City, MO 64138 | 2016-11-29 |
| 1770958951 | Prxp of Ks LLC | Pharmacy | 300-340 Southwest Blvd, Suite 103, Kansas City, KS 66103-2150 | 2015-12-14 |
| 1457760878 | Cosentino Group Inc | Pharmacy | 9717 N Ash Ave, Kansas City, MO 64157-9678 | 2014-08-11 |
| 1528326253 | Genoa Healthcare, LLC | Pharmacy | 3100 Ne 83rd St Ste 1107, Kansas City, MO 64119-4460 | 2012-05-01 |
| 1366708935 | Affinity Biotech Inc | Pharmacy | 8040 Parallel Pkwy Ste 122, Kansas City, KS 66112-2072 | 2012-04-07 |
| 1447375613 | Transmed Pharmacy Inc | Pharmacy | 1001 E 101st Ter, Suite 240, Kansas City, MO 64131-3368 | 2007-03-20 |
| 1447302732 | Finnell & Bond Pharmacy Inc | Pharmacy | 3017 Strong Ave, Kansas City, KS 66106-2111 | 2007-01-17 |
| 1821153255 | Cosentino Enterprises Inc | Pharmacy | 2415 Ne Vivion Rd, Kansas City, MO 64118-6221 | 2006-12-26 |
| 1376606988 | Cosentino Enterprises Inc | Pharmacy | 10225 N Oak Trfy, Kansas City, MO 64155-1715 | 2006-12-18 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.