SAINT LUKES SOUTH HOSPITAL INC NPI 1972043271

NPI Information

  • NPI: 1972043271
  • Provider Name: SAINT LUKES SOUTH HOSPITAL INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: SLS MISSION FARMS PHARMACY
  • CLIA Number: 17D2124163
  • Address: 4061 INDIAN CREEK PKWY
    SUITE 120
    OVERLAND PARK, KS
    ZIP 66207
  • Phone: (913) 323-4777

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NPI Details

SAINT LUKES SOUTH HOSPITAL INC is a pharmacy in Overland Park, KS. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SAINT LUKES SOUTH HOSPITAL INC NPI is 1972043271. The provider is registered as an organization entity type.
The provider Is Doing Business As Sls Mission Farms Pharmacy.

The provider's business location address is:

4061 INDIAN CREEK PKWY
SUITE 120
OVERLAND PARK, KS
ZIP 66207-030
Phone: (913) 323-4777
Fax: (913) 323-4778

The provider's authorized official is Matthew Marino .
The authorized official title is Cfo and has the following contact phone number (816) 347-4782.

The CLIA number assigned to this NPI record is 17D2124163 - other - independent dtf with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)

The enumeration date for this NPI number is 3/6/2017 and was last updated on 8/1/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyYes

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: 3/30/2025

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