MEDICARE: PILLPACK LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy

General Provider Information

NPI Number	:	1417849993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PILLPACK LLC

Provider Business Mailing Address
First Line	:	4001 E 149TH ST STE A-100
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64147-8103
Country	:	US
Telephone Number	:	855-745-5725
Fax Number	:	603-935-9108

Provider Business Practice Location Address
First Line	:	4001 E 149TH ST STE A-100
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64147-8103
Country	:	US
Telephone Number	:	855-745-5725
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	TANVI PATEL
Credential	:
Telephone Number	:	855-745-5725

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	09/08/2025

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Directions to “PILLPACK LLC ” Practice Location

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