NPIMap

Organization Active NPI

Stormont-Vail Pharmacy, LLC

Doing business as Stormont Vail Retail Pharmacy

  • Community/Retail Pharmacy
  • Topeka, KS
National Provider Identifier
1225124357
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-08850 Issued in KS
Legal business name
STORMONT-VAIL PHARMACY, LLC
Doing business as
Stormont Vail Retail Pharmacy
Practice address
830 SW Lane St Ste B
Topeka, KS 66606-2488
Phone
(785) 235-8796
Fax
(785) 235-1939
NPI assigned
Oct 5, 2006
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Joseph Winston RogersNPI 1487911137
Title
Director
Phone
(785) 270-8690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2-08850 KS Primary

Addresses

Primary practice location

830 SW Lane St Ste B
Topeka, KS 66606-2488

Mailing address

830 SW Lane St Ste B
Topeka, KS 66606-2488
Phone (785) 235-8796

Other identifiers 2

IdentifierTypeStateIssuer
100443290AMedicaidKS
1707441OtherNCPDP OR NABP NUMBER

Other names 1

  • STORMONT VAIL RETAIL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251124000819 KS Part B Supplier - Pharmacy 7416449806 Practice locations: Topeka, KS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Medical Arts Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

731 SW Mulvane St
Topeka, KS 66606
Phone (785) 232-2674

823 SW Mulvane St
Ste 280
Topeka, KS 66606
Phone (785) 234-8061

830 SW Lane St
Ste B
Topeka, KS 66606
Phone (785) 232-5382

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1225124357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SW LANE ST STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062488",
            "telephone_number": "785-235-8796",
            "fax_number": "785-235-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SW LANE ST STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062488",
            "telephone_number": "785-235-8796",
            "fax_number": "785-235-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORMONT-VAIL PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-270-8690"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-08850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100443290A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP OR NABP NUMBER",
            "identifier": "1707441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STORMONT VAIL RETAIL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.