Provider Demographics
NPI:1447375613
Name:TRANSMED PHARMACY INC
Entity type:Organization
Organization Name:TRANSMED PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ONEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-960-0353
Mailing Address - Street 1:1001 E 101ST TER
Mailing Address - Street 2:SUITE 240
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-3368
Mailing Address - Country:US
Mailing Address - Phone:816-960-0353
Mailing Address - Fax:816-960-0354
Practice Address - Street 1:1001 E 101ST TER
Practice Address - Street 2:SUITE 240
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-3368
Practice Address - Country:US
Practice Address - Phone:816-960-0353
Practice Address - Fax:816-960-0354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336S0011X
MO0063673336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100443370BMedicaid
2631693OtherOTHER ID NUMBER
MO1447375613Medicaid
KS100443370AMedicaid
MO609805502Medicaid
MO629805508Medicaid
2631693OtherOTHER ID NUMBER-COMMERCIAL NUMBER
KS100443370BMedicaid