OrganizationActive
Active Lifestyle Pharmacy LLC
NPI 1811536683 · Community/Retail Pharmacy · Overland Park, KS
Active Lifestyle Pharmacy LLC is a Community/Retail Pharmacy organization in Overland Park, KS (NPI 1811536683).
Provider details
- NPI number
- 1811536683
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jacob Lickteig, President(785) 760-3839
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7800 Foster St
Overland Park, KS 66204-2955
Phone: (913) 730-8731
Fax: (844) 842-0014
Street-level locationGet directions
Mailing address
7800 Foster St
Overland Park, KS 66204-2955
Registry dates
- Enumerated
- 2019-12-27
- Last updated
- 2019-12-27
- Certified
- 2019-12-27
Frequently asked questions
- What is Active Lifestyle Pharmacy LLC's NPI number?
- Active Lifestyle Pharmacy LLC's National Provider Identifier (NPI) is 1811536683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Lifestyle Pharmacy LLC?
- Active Lifestyle Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Active Lifestyle Pharmacy LLC located?
- Active Lifestyle Pharmacy LLC's practice location on file with NPPES is 7800 Foster St, Overland Park, KS 66204-2955.
- What is Active Lifestyle Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Lifestyle Pharmacy LLC is (913) 730-8731.
- Who is the authorized official for Active Lifestyle Pharmacy LLC?
- The authorized official listed on Active Lifestyle Pharmacy LLC's NPPES record is Jacob Lickteig, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Lifestyle Pharmacy LLC's NPI active?
- Yes — Active Lifestyle Pharmacy LLC's NPI (1811536683) is active in the NPPES registry as of the last update on 2019-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.