PHARMACY OF GRACE INC.
NPI 1134099047
Pharmacy - Community/Retail Pharmacy in Shawnee, KS

Active since November 06, 2025CLIA Certified · 2 labs
11644 W 75TH ST STE 104, SHAWNEE, KS 66214(913) 953-8260(913) 953-8268 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, Nov 6, 2025 (2 updates tracked since 2025).

About Pharmacy Of Grace Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHARMACY OF GRACE INC. (NPI 1134099047), doing business as Pharmacy Of Grace Shawnee, is a healthcare organization registered as a community/retail pharmacy in Shawnee, Kansas and active in the NPI registry since November 2025. The organization holds 2 active CLIA laboratory certificates and lists Michael Craig Fink, Vp Of Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1134099047
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMACY OF GRACE INC.
Location Address11644 W 75TH ST STE 104Shawnee, KS 66214-1300
Mailing Address721 N 31st St Ste 100Kansas City, KS 66102-3972 · (913) 953-8260 · Fax (913) 953-8268
Fax(913) 953-8268
Organization SubpartNo
Authorized OfficialMichael Craig FinkVp Of Clinical Operations · (913) 953-8260
Enumeration DateNovember 6, 2025
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1134099047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
11644 W 75TH ST STE 104, Shawnee, KS 66214

Other Names 1

Doing Business AsPharmacy Of Grace Shawnee

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2299024

Pharmacy Of Grace · Kansas City, KS
Active · expires Feb 12, 2028
CLIA Number17D2299024
Laboratory TypePharmacy
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorMichael C. Fink
Laboratory Phone(913) 953-8260
Laboratory LocationPharmacy Of Grace721 N 31st St, Ste 100, Kansas City, KS 66102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 17D2344412

Pharmacy Of Grace Shawnee · Shawnee, KS
Active · expires May 20, 2028
CLIA Number17D2344412
Laboratory TypePharmacy
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorBrandon D. Powers
Laboratory Phone(913) 985-6337
Laboratory LocationPharmacy Of Grace Shawnee11644 W 75th St, Ste 104, Shawnee, KS 66214
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pharmacy Of Grace Inc.'s NPI number?

The NPI number for Pharmacy Of Grace Inc. is 1134099047. It was assigned to this organization in the NPPES registry on November 6, 2025. The provider is doing business as Pharmacy of Grace Shawnee.

Where is Pharmacy Of Grace Inc. located?

Pharmacy Of Grace Inc. is located at 11644 W 75th St Ste 104, Shawnee, KS 66214. The listed phone number is (913) 953-8260.

What is Pharmacy Of Grace Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Pharmacy Of Grace Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pharmacy Of Grace Inc. was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.