MEDICARE: COSENTINO GROUP INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	2016032950	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2164103	OTHER		PK

General Provider Information

NPI Number	:	1982152674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COSENTINO GROUP INC

Provider Business Mailing Address
First Line	:	13180 METCALF AVE STE 100
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66213-2810
Country	:	US
Telephone Number	:	913-749-1511
Fax Number	:	913-905-3027

Provider Business Practice Location Address
First Line	:	2219 N BELT HWY
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-2205
Country	:	US
Telephone Number	:	816-596-8041
Fax Number	:	816-596-8044

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	BRENTON FORESEE
Credential	:
Telephone Number	:	913-749-1511

Provider Enumeration Date	:	09/12/2016
Last Update Date	:	06/18/2025

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Directions to “COSENTINO GROUP INC ” Practice Location

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