Healthcare Provider Details

I. General information

NPI: 1982081501
Provider Name (Legal Business Name): KARE PHARMACY OF LANSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2015
Last Update Date: 06/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 DELAWARE ST
LEAVENWORTH KS
66048-2733
US

IV. Provider business mailing address

15601 LINDEN LN
OVERLAND PARK KS
66224-3921
US

V. Phone/Fax

Practice location:
  • Phone: 913-680-1205
  • Fax: 913-273-1468
Mailing address:
  • Phone: 913-832-4314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number213173
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KARISHMA KHANDELWAL
Title or Position: OWNER
Credential: RPH
Phone: 913-832-4314