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MAHONEYS COMPOUNDING PHARMACY LLC NPI 1861581415


NPI Information

NPI: 1861581415
Provider Name: MAHONEYS COMPOUNDING PHARMACY LLC

Doing Business As: MAHONEY'S COMPOUNDING PHARMACY, LLC

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
11844 QUIVIRA RD
OVERLAND PARK, KS
ZIP 66210
Phone: (913) 956-7711
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MAHONEYS COMPOUNDING PHARMACY LLC is a compounding pharmacy pharmacy in Overland Park, KS. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. MAHONEYS COMPOUNDING PHARMACY LLC NPI is 1861581415. The provider is registered as an organization entity type.
The provider Is Doing Business As Mahoney's Compounding Pharmacy, Llc.

The provider's business location address is:

11844 QUIVIRA RD
OVERLAND PARK, KS
ZIP 66210-300
Phone: (913) 956-7711
Fax: (913) 956-7722

The provider's authorized official is Sam Mahoney .
The authorized official title is President and has the following contact phone number (913) 956-7711.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/20/2016.


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
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding Pharmacy2-07293KANSASYes

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
1100438960AMEDICAIDKANSAS
22032533OTHERPK

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: 11/14/2023

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