NPIMap

Organization Active NPI

Four B Corp

Doing business as Price Chopper

  • Pharmacy
  • Olathe, KS
National Provider Identifier
1225198260
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2-10050 Issued in KS
Legal business name
FOUR B CORP
Doing business as
Price Chopper
Practice address
15970 S Mur Len Rd
Olathe, KS 66062-8300
Phone
(913) 383-8050
Fax
(913) 393-5053
NPI assigned
Dec 11, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUR B CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Janice Humphreys
Title
Third Party Admin
Phone
(913) 573-1294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2-10050 KS Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

15970 S Mur Len Rd
Olathe, KS 66062-8300

Mailing address

5830 Woodson St
Mission, KS 66202-2746
Phone (913) 573-1294

Other identifiers 3

IdentifierTypeStateIssuer
100439440GMedicaidKS
100439440HMedicaidKS
2027663OtherPK

Other names 1

  • PRICE CHOPPER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090805000202 KS Part B Supplier - Mass Immunization (Roster Biller Only) 9133155054 14 other NPIs on this enrollment
Practice locations: Kansas City, KS; Shawnee, KS; Roeland Park, KS; Prairie Village, KS; Overland Park, KS; Olathe, KS; Leavenworth, KS; Fairway, KS

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2182348Price Chopper Pharmacy #4015970 S Mur Len Rd, Olathe, KS 66062Certificate of waiverApr 19, 2028

National Provider Directory

National Provider Directory
Part of
Price Chopper Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1225198260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 WOODSON ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022746",
            "telephone_number": "913-573-1294",
            "fax_number": "913-551-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15970 S MUR LEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660628300",
            "telephone_number": "913-383-8050",
            "fax_number": "913-393-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR B CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR B CORP",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "THIRD PARTY ADMIN",
        "authorized_official_telephone_number": "913-573-1294"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "2-10050",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439440G",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439440H",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2027663",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRICE CHOPPER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.

Verify at the official NPI Registry.