NPIMap

Organization Active NPI

Four B Corp

Doing business as Hen House Pharmacy

  • Community/Retail Pharmacy
  • Lee's Summit, MO
National Provider Identifier
1083729180
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FOUR B CORP
Doing business as
Hen House Pharmacy
Practice address
1015 NE Rice Rd
Lees Summit, MO 64086-6360
Phone
(816) 525-1479
Fax
(816) 525-2639
NPI assigned
Aug 20, 2006
Last updated
Jul 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Janice Arenson
Title
3Rd Party Admin.
Phone
(913) 573-1294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 6107 MO
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1015 NE Rice Rd
Lees Summit, MO 64086-6360

Mailing address

5300 Speaker Rd
Kansas City, KS 66106-1050
Phone (913) 573-1294

Other identifiers 3

IdentifierTypeStateIssuer
2631112OtherOTHER ID NUMBER-COMMERCIAL NUMBER
608884508MedicaidMO
628884504MedicaidMO

Other names 1

  • HEN HOUSE PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090723000149 MO Part B Supplier - Mass Immunization (Roster Biller Only) 9133155054 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grandview, MO; Lees Summit, MO; Kansas City, MO; Harrisonville, MO

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1083729180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SPEAKER RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661061050",
            "telephone_number": "913-573-1294",
            "fax_number": "913-551-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866360",
            "telephone_number": "816-525-1479",
            "fax_number": "816-525-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR B CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "ARENSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "3RD PARTY ADMIN.",
        "authorized_official_telephone_number": "913-573-1294"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "6107",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2631112",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608884508",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628884504",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEN HOUSE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.