Organization Active NPI

Professional Medical Services

  • Pharmacy
  • Winfield, KS
National Provider Identifier
1215966924
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2-09883 Issued in KS
Legal business name
PROFESSIONAL MEDICAL SERVICES
Practice address
1708 E 9TH Ave Ste B
Winfield, KS 67156-3220
Phone
(620) 221-4777
NPI assigned
Jul 3, 2006
Last updated
Sep 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Mr. Kent E Vratil
Title
Owner
Phone
(620) 221-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2-09883 KS Primary

Addresses

Primary practice location

1708 E 9TH Ave Ste B
Winfield, KS 67156-3220

Mailing address

1708 E 9TH Ave Ste B
Winfield, KS 67156-3220
Phone (620) 221-4777

Other identifiers 1

IdentifierTypeStateIssuer
100442510AMedicaidKS

National Provider Directory

National Provider Directory

Locations

1708 E 9th Ave
Ste B
Winfield, KS 67156
Phone (620) 221-4777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1215966924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 E 9TH AVE STE B",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563220",
            "telephone_number": "620-221-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E 9TH AVE STE B",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563220",
            "telephone_number": "620-221-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "VRATIL",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-221-4777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "2-09883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100442510A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.