Active NPI
Queen-Morris Ventures L L C
- Community/Retail Pharmacy
- Overland Park, KS
On this page
- Key facts
- Authorized official
- Other NPIs on the same Medicare enrollment1
- Practitioners7
- Laboratory certificates & supplier records
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers3
- Other names1
- NPI Registry JSON
- Other providers in Overland Park, KS
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-08955
- Legal business name
- QUEEN-MORRIS VENTURES L L C
- Practice address
- 8686 Antioch Rd
Overland Park, KS 66212-3648 - Phone
- (913) 642-4140
- Fax
- (913) 648-0100
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Toni Shields, RPH
- Title
- Director of Pharmacy
- Phone
- (913) 378-6938
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Spring Hill, KS
- NPI 1508937525
Same enrollment O20140109001164
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Spring Hill, KS
- NPI 1528645108
-
- Pharmacist
- Spring Hill, KS
- NPI 1013594555
-
- Pharmacist
- Ottawa, KS
- NPI 1760725154
-
- Pharmacist
- Spring Hill, KS
- NPI 1790460418
-
- Pharmacist
- Overland Park, KS
- NPI 1780568345
-
- Pharmacist
- Overland Park, KS
- NPI 1972190874
-
- Pharmacist
- Spring Hill, KS
- NPI 1780351205
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2168421 | Queen'S Price Chopper #4 | Certificate of waiver | Jun 27, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
National Provider DirectoryLocations
8686 Antioch Rd
#4
Overland Park, KS 66212
Phone (913) 642-4140
22350 S Harrison St
Spring Hill, KS 66083
Phone (913) 592-5350
22350 S Harrison St
#7
Spring Hill, KS 66083
Phone (913) 592-5350
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2-08955 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary 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 identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200402260A | Medicaid | KS | |
| 100440080C DME | Medicaid | KS | |
| 2026150 | Other | PK |
Other names 1
NPPES NPI Registry- Queen's Price Chopper #4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2016.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200402260A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100440080C DME",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2026150",
"state": null
}
],
"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.