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ACTIVE LIFESTYLE PHARMACY LLC
NPI 1811536683
Pharmacy - Community/Retail Pharmacy in Overland Park, KS

Active since December 27, 2019
7800 FOSTER ST, OVERLAND PARK, KS 66204(913) 730-8731(844) 842-0014 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Active Lifestyle Pharmacy Llc NPPES

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

ACTIVE LIFESTYLE PHARMACY LLC (NPI 1811536683) is a healthcare organization registered as a community/retail pharmacy in Overland Park, Kansas and active in the NPI registry since December 2019. The organization lists Jacob M Lickteig, President, as its authorized official.

NPPES Registry Identity

NPI1811536683
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameACTIVE LIFESTYLE PHARMACY LLC
Location Address7800 FOSTER STOverland Park, KS 66204-2955
Mailing Address7800 Foster StOverland Park, KS 66204-2955 · (913) 730-8731 · Fax (844) 842-0014
Phone(913) 730-8731
Fax(844) 842-0014
Organization SubpartNo
Authorized OfficialJacob M LickteigPresident · (785) 760-3839
Enumeration DateDecember 27, 2019
✔ NPI 1811536683 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.
7800 FOSTER ST, Overland Park, KS 66204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Moda Health Plan, Inc..Insurance ›

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 Active Lifestyle Pharmacy LLC's NPI number?

The NPI number for Active Lifestyle Pharmacy LLC is 1811536683. It was assigned to this organization in the NPPES registry on December 27, 2019.

Where is Active Lifestyle Pharmacy LLC located?

Active Lifestyle Pharmacy LLC is located at 7800 Foster St, Overland Park, KS 66204. The listed phone number is (913) 730-8731.

What is Active Lifestyle Pharmacy LLC's specialty?

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

What insurance does Active Lifestyle Pharmacy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Moda Health Plan, Inc. list Active Lifestyle Pharmacy 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 Active Lifestyle Pharmacy LLC was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.