Walterscheid Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WALTERSCHEID PHARMACY INC

Practice address

1001 W 11TH St
Coffeyville, KS 67337-4220

Phone

(620) 251-2150

Fax

(620) 251-0022

NPI assigned

Nov 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Walterscheid, RPH

Title

Owner Pharmacist

Phone

(620) 251-2150

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Isaacs

  • Pharmacist
  • Coffeyville, KS
  • NPI 1992250005
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1043382831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W 11TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673374220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 11TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673374220",
            "telephone_number": "620-251-2150",
            "fax_number": "620-251-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERSCHEID PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WALTERSCHEID",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "620-251-2150",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "7829",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "7829",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247770A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1714624",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100443690A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Veronie, APRN
• Jami Vineyard
• Tara Volmer, PHARMD
• Mashaya Wagy
• Walmart Inc.
• Grant M Webster, DMD
• Stacey L Weil, APRN
• Jessica Westerfield
• Susan H Wiebe, MD
• Alexandria Wilbert

• Community/Retail Pharmacy in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.