Mt Oread Pharmacy LLC
NPI 1083834998ActiveOrganization· Pharmacy· Lawrence, KS
Pharmacy in Lawrence, Kansas, registered in NPPES in April 2007. The authorized official on file is Erick W. Axcell, PHARMD, Pharmacist. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1083834998 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 26, 2007 |
| Last updated in NPPES | Oct 9, 2020 |
| Certified by provider | Oct 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacist | 183500000X | 08834 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (KS) |
|---|
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