Active NPI
Fraese Drug Company Inc
- Community/Retail Pharmacy
- Hutchinson, KS
National Provider Identifier
1184628166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 210387
- Legal business name
- FRAESE DRUG COMPANY INC
- Practice address
- 25 N Main St
Hutchinson, KS 67501-5216 - Phone
- (620) 662-4498
- NPI assigned
- Jun 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Don Kaufman, RPH
- Title
- Owner/President
- Phone
- (620) 622-4477
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 210387 | KS | Primary |
Addresses
Primary practice location
25 N Main St
Hutchinson, KS 67501-5216
Mailing address
PO Box 2458
Hutchinson, KS 67504-2458
Phone (620) 200-9325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100436240A | Medicaid | KS | |
| 2032542 | Other | PK |
Other names 1
- FRAESE DRUG and Soda Fountain Grill
National Provider Directory
National Provider DirectoryLocations
25 N Main St
Hutchinson, KS 67501
Phone (620) 662-4477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461801600000",
"number": "1184628166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2458",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675042458",
"telephone_number": "620-200-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N MAIN ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015216",
"telephone_number": "620-662-4498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRAESE DRUG COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-08",
"last_updated": "2016-04-28",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "620-622-4477",
"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": "210387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100436240A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2032542",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FRAESE DRUG and Soda Fountain Grill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.