Provider Demographics
NPI:1700569001
Name:MED PALS NUMBER ONE, LLC
Entity Type:Organization
Organization Name:MED PALS NUMBER ONE, LLC
Other - Org Name:MED PALS #1
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:UDOJI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:877-989-7257
Mailing Address - Street 1:1601 E 18TH ST STE 170
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-1601
Mailing Address - Country:US
Mailing Address - Phone:877-989-7257
Mailing Address - Fax:888-949-7257
Practice Address - Street 1:1601 E 18TH ST STE 170
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1601
Practice Address - Country:US
Practice Address - Phone:877-989-7257
Practice Address - Fax:888-949-7257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy