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AD ASTRA PHARMACY LLC NPI 1144247651


NPI Information

NPI: 1144247651
Provider Name: AD ASTRA PHARMACY LLC

Doing Business As: KELLSTROM PHARMACY LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1860 CLAFLIN RD
MANHATTAN, KS
ZIP 66502
Phone: (785) 776-1200
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AD ASTRA PHARMACY LLC is a long term care pharmacy pharmacy in Manhattan, KS. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. AD ASTRA PHARMACY LLC NPI is 1144247651. The provider is registered as an organization entity type.
The provider Is Doing Business As Kellstrom Pharmacy Ltc.

The provider's business location address is:

1860 CLAFLIN RD
MANHATTAN, KS
ZIP 66502-413
Phone: (785) 776-1200
Fax: (785) 776-1115

The provider's authorized official is Milka Goodlett .
The authorized official title is Manager/owner and has the following contact phone number (785) 776-1200.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 5/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy1-11676KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201261060AMEDICAIDKANSAS
22027347OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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