Healthcare Provider Details

I. General information

NPI: 1013729052
Provider Name (Legal Business Name): ADVANCED PHARMACEUTICALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8071 FLINT ST
LENEXA KS
66214-3335
US

IV. Provider business mailing address

8071 FLINT ST
LENEXA KS
66214-3335
US

V. Phone/Fax

Practice location:
  • Phone: 816-309-3143
  • Fax:
Mailing address:
  • Phone: 816-309-3143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RYAN BLICKHAN
Title or Position: PHARMACY OWNER
Credential: PHARMD
Phone: 816-309-3143