Provider Demographics
NPI:1982081501
Name:KARE PHARMACY OF LANSING LLC
Entity Type:Organization
Organization Name:KARE PHARMACY OF LANSING LLC
Other - Org Name:KARE PHARMACY OF LEAVENWORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARISHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANDELWAL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:913-832-4314
Mailing Address - Street 1:15601 LINDEN LN
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3921
Mailing Address - Country:US
Mailing Address - Phone:913-832-4314
Mailing Address - Fax:
Practice Address - Street 1:426 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-2733
Practice Address - Country:US
Practice Address - Phone:913-680-1205
Practice Address - Fax:913-273-1468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336L0003X
KS2131733336C0003X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2151666OtherPK