Provider Demographics
NPI:1992140511
Name:KARE PHARMACY OF LANSING, LLC
Entity type:Organization
Organization Name:KARE PHARMACY OF LANSING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:KARISHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANDELWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
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 1:2500 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-4513
Practice Address - Country:US
Practice Address - Phone:913-727-5273
Practice Address - Fax:913-727-6337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2104523336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2139598OtherPK