Organization Active NPI

Queen-Morris Ventures L L C

Doing business as Queen's Price Chopper #4

  • Community/Retail Pharmacy
  • Overland Park, KS
National Provider Identifier
1124193701
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-08955 Issued in KS
Legal business name
QUEEN-MORRIS VENTURES L L C
Doing business as
Queen's Price Chopper #4
Practice address
8686 Antioch Rd
Overland Park, KS 66212-3648
Phone
(913) 642-4140
Fax
(913) 648-0100
NPI assigned
Nov 21, 2006
Last updated
Dec 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Toni Shields, RPHNPI 1033552708
Title
Director of Pharmacy
Phone
(913) 378-6938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-08955 KS Primary

Addresses

Primary practice location

8686 Antioch Rd
Overland Park, KS 66212-3648

Mailing address

8686 Antioch Rd
Overland Park, KS 66212-3648
Phone (913) 642-4140

Other names 1

  • Queen's Price Chopper #4 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140109001164 KS Part B Supplier - Mass Immunization (Roster Biller Only) 9739380890 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Overland Park, KS; Spring Hill, KS

Other NPIs on the same Medicare enrollment 1

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

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
17D2168421Queen's Price Chopper #48686 Antioch Rd, Overland Park, KS 66212Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

8686 Antioch Rd
Overland Park, KS 66212
Phone (913) 642-4140

8686 Antioch Rd
#4
Overland Park, KS 66212
Phone (913) 642-4140

22350 S Harrison St
#7
Spring Hill, KS 66083
Phone (913) 592-5350

Practitioners & affiliated clinicians

Practitioners 8

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1124193701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123648",
            "telephone_number": "913-642-4140",
            "fax_number": "913-648-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8686 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123648",
            "telephone_number": "913-642-4140",
            "fax_number": "913-648-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN-MORRIS VENTURES L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "913-378-6938",
        "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": "2-08955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen's Price Chopper #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.