Active NPI
Quier Pharmacy LLC
Doing business as Clearwater Pharmacy
- Pharmacy
- Clearwater, KS
National Provider Identifier
1194185512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 2-13234
- Legal business name
- QUIER PHARMACY LLC
- Doing business as
- Clearwater Pharmacy
- Practice address
- 130 E Ross St Ste 111
Clearwater, KS 67026-7833 - Phone
- (620) 584-3784
- Fax
- (620) 886-5517
- NPI assigned
- Feb 26, 2016
- Last updated
- Nov 22, 2021
- 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
- Nancy Peterson Bradfield
- Title
- President
- Phone
- (785) 466-6810
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2-13234 | KS | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU | ||
| Institutional Pharmacy | 3336I0012X | NU |
Addresses
Primary practice location
130 E Ross St Ste 111
Clearwater, KS 67026-7833
Mailing address
PO Box 349
Medicine Lodge, KS 67104-0349
Phone (620) 875-1345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158321 | Other | PK | |
| 201128690A | Medicaid | KS |
Other names 1
- Clearwater Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clearwaterpharmacy@hotmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200727002693 | KS | Part B Supplier - Pharmacy | 7416382726 | Practice locations: Clearwater, KS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2183948 | Quier Pharmacy Dba Clearwater Pharmacy | Certificate of waiver | May 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
130 E Ross St
Ste 111
Clearwater, KS 67026
Phone (620) 584-3784
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Clearwater, KS
- NPI 1689058315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637539200000",
"number": "1194185512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 349",
"city": "MEDICINE LODGE",
"state": "KS",
"postal_code": "671040349",
"telephone_number": "620-875-1345",
"fax_number": "620-886-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E ROSS ST STE 111",
"city": "CLEARWATER",
"state": "KS",
"postal_code": "670267833",
"telephone_number": "620-584-3784",
"fax_number": "620-886-5517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUIER PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-26",
"last_updated": "2021-11-22",
"certification_date": "2021-11-15",
"status": "A",
"authorized_official_last_name": "BRADFIELD",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "PETERSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "785-466-6810"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KS",
"license": "2-13234",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2158321",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201128690A",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clearwaterpharmacy@hotmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "130 E Ross #111",
"city": "Clearwater",
"state": "KS",
"country_code": "US",
"postal_code": "67026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Clearwater Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Clearwater Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clearwater, KS
- Brianne Montes
- Lila M Mourning, ARNP-C
- David Ira Papish, D.O.
- Pinnacle Health Facilities Xxxii LP (Clearwater Nursing & Rehabilitation Center)
- Pinnacle Health Facilities Xxxii LP (Clearwater Village)
- Kim Reiman
- Janet Schauf, BSN RN
- Availiana Amor Serna
- Unified School District No 264
- Wal-Mart Stores Inc (Wal-Mart Pharmacy 10-3369)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.