Graves Drug
Organization Active NPI Community/Retail Pharmacy · Winfield, KS
NPI 1164516019 · NPPES record last updated Aug 5, 2010
Key facts
- NPI
- 1164516019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5083 (KS)
- Legal business name
- GRAVES DRUG
- Practice address
- 905 Main St
Winfield, KS 67156-3604 - Phone
- (620) 221-0080
- Fax
- (620) 221-4383
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Fred Humpert
- Title
- Pharmacist
- Phone
- (620) 221-0080
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5083 | KS | Yes |
Addresses
Primary practice location
905 Main St
Winfield, KS 67156-3604
Mailing address
905 Main St
Winfield, KS 67156-3604
Phone (620) 221-0080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100435690A | Medicaid | KS |
Other providers in Winfield, KS
- Erica Christine Gibbs
- Louis Valentine Goins
- Angela M Goodson
- Tracie Gordon
- Kesha Elaine Grace
- Jamie A Gray
- Nicole Gray
- Grene Vision Group LLC
- Grene Vision Group LLC
- Cynthia A Groene
All providers in Winfield, KS · Community/Retail Pharmacy in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.