Organization Active NPI

Fraese Drug Company Inc

  • Community/Retail Pharmacy
  • Hutchinson, KS
National Provider Identifier
1184628166
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
210387 Issued in KS
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

Updated by the provider on Apr 28, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100436240AMedicaidKS
2032542OtherPK

Other names 1

  • FRAESE DRUG and Soda Fountain Grill Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.