Provider Demographics
NPI:1538550983
Name:UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:913-588-2304
Mailing Address - Street 1:PO BOX 955772
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63195-5772
Mailing Address - Country:US
Mailing Address - Phone:913-588-2600
Mailing Address - Fax:913-588-2650
Practice Address - Street 1:11300 CORPORATE AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1374
Practice Address - Country:US
Practice Address - Phone:913-588-2600
Practice Address - Fax:913-588-2650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE UNIVERSITY OF KANSAS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-06
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251F00000X, 332B00000X, 333600000X, 3336C0004X
KS2-1035383336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100099470YMedicaid
KS100099470ZMedicaid
2150366OtherPK