Provider Demographics
NPI:1568900553
Name:THE WEST PHARM LLC
Entity Type:Organization
Organization Name:THE WEST PHARM LLC
Other - Org Name:ONAGA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLODDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-338-0390
Mailing Address - Street 1:300 LEONARD ST
Mailing Address - Street 2:
Mailing Address - City:ONAGA
Mailing Address - State:KS
Mailing Address - Zip Code:66521-9484
Mailing Address - Country:US
Mailing Address - Phone:785-889-7181
Mailing Address - Fax:785-889-4452
Practice Address - Street 1:300 LEONARD ST
Practice Address - Street 2:
Practice Address - City:ONAGA
Practice Address - State:KS
Practice Address - Zip Code:66521-9484
Practice Address - Country:US
Practice Address - Phone:785-889-7181
Practice Address - Fax:785-889-4452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336L0003X
KS2-1023173336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167794OtherPK
KS201137560BMedicaid