Provider Demographics
NPI:1225189202
Name:PHARMSCRIPT OF KS LLC
Entity type:Organization
Organization Name:PHARMSCRIPT OF KS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCIAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-389-1818
Mailing Address - Street 1:150 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4185
Mailing Address - Country:US
Mailing Address - Phone:908-389-1818
Mailing Address - Fax:508-281-1843
Practice Address - Street 1:11144 RENNER BLVD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-9621
Practice Address - Country:US
Practice Address - Phone:908-389-1818
Practice Address - Fax:508-281-1843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0002X, 3336C0004X, 3336I0012X
KS2103413336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO606252104Medicaid
KS200374790AMedicaid
2027351OtherPK