Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Lifestyle Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1811536683

Active Lifestyle Pharmacy LLC is a Community/Retail Pharmacy in Overland Park, Kansas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7800 Foster St
Overland Park, KS 66204-2955
Phone: (913) 730-8731
Fax: (844) 842-0014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1811536683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Lickteig — President · (785) 760-3839
NPI enumeratedDecember 27, 2019
Last updated in NPPESDecember 27, 2019
Certification dateDecember 27, 2019
Mailing address7800 Foster St, Overland Park, KS 66204-2955

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