Sabetha Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Sabetha, KS
NPI 1205948155 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1205948155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- SABETHA PHARMACY INC
- Practice address
- 934 Main St
Sabetha, KS 66534-1829 - Phone
- (785) 284-3414
- Fax
- (785) 284-3040
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Lance Michael Freeman
- Title
- Owner
- Phone
- (785) 384-3414
Corporate family (same tax ID) 1
Practitioners 4
-
Paula Koch, RPH
-
Lisa Elaine Lierz, R.PH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240523000939 | KS | Part B Supplier - Pharmacy | 4789026667 | Practice locations: Sabetha, KS |
| O20240715003773 | KS | DME Supplier - Pharmacy | 4789026667 | Practice locations: Sabetha, KS |
National Provider Directory
- Tax ID family
- Sabetha Healthcare Inc
Locations
1118 Main St
Sabetha, KS 66534
Phone (785) 284-3432
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
934 Main St
Sabetha, KS 66534-1829
Mailing address
934 Main St
Sabetha, KS 66534-1829
Phone (785) 284-3414
Other names
- Sabetha Pharmacy
Other providers in Sabetha, KS
- Sabetha Apothecary LLC
- Sabetha Community Hospital
- Sabetha Comunity Hospital
- Sabetha Dental LLC
- Sabetha Nursing, LLC
- Sabetha Pharmacy Inc
- Sabetha Residential, LLC
- Simpson Chiropractic PA
- William T. Simpson
- Brett Dale Stallbaumer
All providers in Sabetha, 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 Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.