Midwest Family Health of Phillipsburg Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

213247 Issued in KS

Legal business name

MIDWEST FAMILY HEALTH OF PHILLIPSBURG INC

Doing business as

Midwest Family Health

Practice address

300 State St
Phillipsburg, KS 67661-1930

Phone

(785) 543-5131

Fax

(785) 543-5844

NPI assigned

Jun 14, 2006

Last updated

Mar 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacie Ricker

Title

Owner

Phone

(785) 540-4143

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Midwest Family Health Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 6

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.

• Traci Eilers, PHARM.D.

  • Pharmacist
  • Phillipsburg, KS
  • NPI 1588254569
  NPD (past)
• Benson Dewayne Galloway, PHARMD

  • Pharmacist
  • Phillipsburg, KS
  • NPI 1508666298
  NPD (past)
• Blade Thomas Kalleck, PHARMD, RPH

  • Pharmacist
  • Phillipsburg, KS
  • NPI 1043932890
  NPD (past)
• Alyce Estelle Peterson, PHARMD

  • Pharmacist
  • Phillipsburg, KS
  • NPI 1619375052
  NPD (past)
• Jennifer Swenson

  • Pharmacist
  • Phillipsburg, KS
  • NPI 1124568845
  NPD (past)
• Robert Wenzl, PHARMD

  • Pharmacist
  • Phillipsburg, KS
  • NPI 1427492933
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1144263310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "676610608",
            "telephone_number": "785-540-4143",
            "fax_number": "785-540-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "676611930",
            "telephone_number": "785-543-5131",
            "fax_number": "785-543-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FAMILY HEALTH OF PHILLIPSBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "RICKER",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-540-4143"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "213247",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003877760002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031195",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003877760001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Family Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sue L Kipp, COTA
• Timothy W Lawton, MD
• Sandra Gay Loon, LSCSW
• Staten McClacherty, D.C.
• Charlie Meitler, CPTA
• William A Miller, D.D.S
• Chantel R Morgan, PTA
• Gidget Ann Mosiman, MS LPC
• Christopher S Patton, D.D.S, P.A.
• Alyce Estelle Peterson, PHARMD

• Community/Retail Pharmacy in Phillipsburg, KS
• Providers in Phillipsburg, 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 25, 2025; 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.