Provider Demographics
NPI:1467838623
Name:WHEELS'S PHARMACY
Entity Type:Organization
Organization Name:WHEELS'S PHARMACY
Other - Org Name:THE PHARMACY AT APPLE MARKET NORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:816-260-6346
Mailing Address - Street 1:903 N 36TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2971
Mailing Address - Country:US
Mailing Address - Phone:816-260-6346
Mailing Address - Fax:816-222-0570
Practice Address - Street 1:2450 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2535
Practice Address - Country:US
Practice Address - Phone:816-260-6346
Practice Address - Fax:816-222-0570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20150207643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy