ELMHURST APOTHECARY, LLC (NPI# 1679640197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679640197 |
| Entity Type | Organization |
| Organization Name | ELMHURST APOTHECARY, LLC |
| Other Organization Name | ELMHURST APOTHECARY |
| Practice Address |
1018 Elmhurst Blvd Concordia KS 66901-3900 |
| Practice Telephone | 7852439796 |
| Practice Fax Number | 7852431827 |
| Mailing Telephone | 7852439796 |
| Mailing Fax Number | 7852431827 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DOUGLAS L FUNK (MEMBER) |
| Authorized Official Telephone | 7852439796 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
2-09818 | KS | Suppliers |
| Other Name | Type Code |
|---|---|
| Elmhurst Apothecary | Doing Business As Name - Organization |
| Street Address |
1018 ELMHURST BLVD |
| City | CONCORDIA |
| State | KS |
| Zip Code | 66901-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447765367 | Melanie Brown-hanson | Social Worker | 1502 Lincoln St, Concordia, KS 66901 | 2017-12-14 |
| 1336360825 | Marquis Place Assisted Living | Home Health | 205 W 21st St, Concordia, KS 66901 | 2007-05-01 |
| 1073651030 | Angel Square Inc | Day Training, Developmentally Disabled Services | 915 & Half East 7th, Concordia, KS 66901 | 2007-02-02 |
| 1033210786 | City of Concordia | Ambulance | 701 Washington, Concordia, KS 66901 | 2006-09-26 |
| 1881794485 | Michael Eugene Miller | Optometrist | 222 West 6th St, Concordia, KS 66901 | 2006-09-24 |
| 1770586125 | Rmjb Health Inc | Durable Medical Equipment & Medical Supplies | 1020 Elmhurst Blvd, Concordia, KS 66901 | 2005-05-31 |
| 1790788511 | Dennis L Sewell | Physician Assistant | 1100 Highland Drive, Concordia, KS 66901 | 2005-05-24 |
| 1740659887 | Tiffany Naccarato | Nurse Practitioner | 1100 Highland Drive, Concordia, KS 66901 | 2015-09-18 |
| 1104163310 | James Robert Kerr | Counselor | 520 Washington Street, Suite C, Concordia, KS 66901 | 2013-01-08 |
| 1801182233 | Paige Kiley Hendrixson | Physical Therapist | 1116 Broadway, Concordia, KS 66901 | 2011-06-23 |
| Find all providers in zip 66901 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083276240 | Pain Management Partner Inc. | Pharmacy | 13330 Santa Fe Trail Dr, Lenexa, KS 66215-3653 | 2019-07-08 |
| 1982081501 | Kare Pharmacy of Lansing LLC | Pharmacy | 426 Delaware St, Leavenworth, KS 66048-2733 | 2015-05-04 |
| 1184057168 | Haag Apothecary, Inc | Pharmacy | 1400 W 12th Ave Ste A, Emporia, KS 66801-2516 | 2013-08-14 |
| 1093031502 | Bb37 Pa | Pharmacy | 505 E 16th St, Suite 2, Wellington, KS 67152-2811 | 2010-04-09 |
| 1073764973 | Gripka Pharmacy LLC | Pharmacy | 15415 Pinehurst Dr, Basehor, KS 66007-8237 | 2008-10-09 |
| 1316107162 | Senior Rx Care of Kansas LLC | Pharmacy | 121 Se 6th Ave, Topeka, KS 66603-3516 | 2008-06-16 |
| 1043421910 | Midwest Compounders, Inc | Pharmacy | 13330 Santa Fe Trail Drive, Lenexa, KS 66215 | 2007-05-24 |
| 1225189202 | Pharmscript of Ks LLC | Pharmacy | 11144 Renner Blvd, Lenexa, KS 66219 | 2007-01-16 |
| 1972685063 | Hudson Holdings, Inc. | Pharmacy | 111 Oak St, Bonner Springs, KS 66012-1049 | 2006-10-19 |
| 1811091879 | Custom Rx Inc | Pharmacy | 3510 N Ridge Rd Ste 900, Wichita, KS 67205-1225 | 2006-09-12 |
| Find all providers with the same taxonomy | ||||
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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.