Organization Active NPI

Wolkar Drug Inc

Doing business as Wolkar Drug

  • Community/Retail Pharmacy
  • Baxter Springs, KS
National Provider Identifier
1053423905
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-13206 Issued in KS
Legal business name
WOLKAR DRUG INC
Doing business as
Wolkar Drug
Practice address
1920 Military Ave
Baxter Springs, KS 66713-2039
Phone
(620) 856-5555
Fax
(620) 856-3455
NPI assigned
Aug 31, 2006
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Brian Caswell, RPHNPI 1689288391
Title
President Pharmacist in Charge
Phone
(620) 856-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-13206 KS Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1920 Military Ave
Baxter Springs, KS 66713-2039

Mailing address

1920 Military Ave
Baxter Springs, KS 66713-2039
Phone (620) 856-5555

Other names 1

  • WOLKAR DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211102000374 KS Part B Supplier - Pharmacy 7113315722 Practice locations: Baxter Springs, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2183717Wolkar Drug1920 Military Ave, Baxter Springs, KS 66713Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Locations

1920 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-5555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1053423905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MILITARY AVE",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667132039",
            "telephone_number": "620-856-5555",
            "fax_number": "620-856-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MILITARY AVE",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667132039",
            "telephone_number": "620-856-5555",
            "fax_number": "620-856-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLKAR DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "CASWELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "620-856-5555",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-13206",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOLKAR DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOLKAR DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxter Springs, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.