NPIMap

Organization Active NPI

Four B Corp

Doing business as Price Chopper

  • Pharmacy
  • Lee's Summit, MO
National Provider Identifier
1174638274
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
6045 Issued in MO
Legal business name
FOUR B CORP
Doing business as
Price Chopper
Practice address
1600 SE Blue Parkway
Lees Summit, MO 64063
Phone
(816) 554-2951
Fax
(816) 554-2964
NPI assigned
Aug 20, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUR B CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Janice Humphreys
Title
Third Party Admin
Phone
(913) 573-1294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 6045 MO Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

1600 SE Blue Parkway
Lees Summit, MO 64063

Mailing address

5830 Woodson St
Mission, KS 66202-2746
Phone (913) 573-1294

Other identifiers 3

IdentifierTypeStateIssuer
2047576OtherPK
608863502MedicaidMO
628863508MedicaidMO

Other names 1

  • PRICE CHOPPER 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
Practice locations: Grandview, MO; Lees Summit, MO; Kansas City, MO; Harrisonville, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

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
26D2182924Price Chopper Pharmacy #431600 SE Blue Parkway, Lees Summit, MO 64063Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory
Part of
Price Chopper Pharmacy

Practitioners & affiliated clinicians

Practitioners 2

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": "1787184000000",
    "number": "1174638274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 WOODSON ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022746",
            "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": "1600 SE BLUE PARKWAY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64063",
            "telephone_number": "816-554-2951",
            "fax_number": "816-554-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR B CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR B CORP",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "THIRD PARTY ADMIN",
        "authorized_official_telephone_number": "913-573-1294"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "6045",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047576",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608863502",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628863508",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRICE CHOPPER",
            "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 Aug 20, 2026; 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.