Provider Demographics
NPI:1780782870
Name:PHARMACARE HEALTH SPECIALISTS LLC
Entity type:Organization
Organization Name:PHARMACARE HEALTH SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:REGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:316-681-2181
Mailing Address - Street 1:2740 N REGENCY PARK
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-4527
Mailing Address - Country:US
Mailing Address - Phone:316-681-2181
Mailing Address - Fax:316-681-0277
Practice Address - Street 1:2740 N REGENCY PARK
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-4527
Practice Address - Country:US
Practice Address - Phone:316-681-2181
Practice Address - Fax:316-681-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
KS2-103463336L0003X, 332BP3500X, 3336S0011X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100443730AMedicaid
KS100443730BMedicaid
17-16894OtherNCPDP
KS1248450001Medicare NSC