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MINNEOLA PHARMACY
NPI 1508324021
Pharmacy - Long Term Care Pharmacy in Minneola, KS

Active since March 04, 2019CLIA 17D2230119 · Waiver
131 S. MAIN ST., MINNEOLA, KS 67865(620) 885-4544(620) 885-4723 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 11, 2021, Mar 4, 2019 (2 updates tracked since 2019).

About Minneola Pharmacy NPPES

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

MINNEOLA PHARMACY (NPI 1508324021) is a healthcare organization registered as a long term care pharmacy in Minneola, Kansas and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Jan R Granados, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1508324021
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMINNEOLA PHARMACY II LLC
Location Address131 S. MAIN ST.Minneola, KS 67865-0460
Mailing AddressPo Box 460Minneola, KS 67865-0460 · (620) 885-4544 · Fax (620) 885-4723
Phone(620) 885-4544
Fax(620) 885-4723
Organization SubpartNo
Authorized OfficialJan R GranadosManager/member · (620) 885-4544
Enumeration DateMarch 4, 2019
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1508324021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
131 S. MAIN ST., Minneola, KS 67865
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Other Names 1

Doing Business AsMinneola Pharmacy

Other Identifiers 2

Medicaid201318470AKS
Other1447353503KS · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 17D2230119

Minneola Pharmacy II LLC · Minneola, KS
Active · expires Jul 19, 2027
CLIA Number17D2230119
Laboratory TypePharmacy
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorJan R. Granados
Laboratory Phone(620) 885-4544
Laboratory LocationMinneola Pharmacy II LLC131 S Main St, Minneola, KS 67865
CLIA data matches this NPI record on: Address Name Phone
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 Minneola Pharmacy II LLC's NPI number?

The NPI number for Minneola Pharmacy II LLC is 1508324021. It was assigned to this organization in the NPPES registry on March 4, 2019. The provider is doing business as Minneola Pharmacy.

Where is Minneola Pharmacy II LLC located?

Minneola Pharmacy II LLC is located at 131 S. Main St., Minneola, KS 67865. The listed phone number is (620) 885-4544.

What is Minneola Pharmacy II LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Minneola Pharmacy II LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2230119) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Minneola Pharmacy II LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 37 other insurers list Minneola Pharmacy II LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minneola Pharmacy II LLC was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.