Organization Active NPI

Mathis Drugs Inc

Doing business as Mathis Drugs

  • Community/Retail Pharmacy
  • Girard, KS
National Provider Identifier
1245007855
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MATHIS DRUGS INC
Doing business as
Mathis Drugs
Practice address
400 W Saint John St
Girard, KS 66743-1213
Phone
(620) 724-4313
Fax
(620) 724-6900
NPI assigned
Dec 5, 2023
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
William Earl OsbornNPI 1497707137
Title
Ao
Phone
(918) 542-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

400 W Saint John St
Girard, KS 66743-1213

Mailing address

400 W Saint John St
Girard, KS 66743-1213
Phone (620) 724-4313

Other identifiers 1

IdentifierTypeStateIssuer
30005045520001MedicaidKS

Other names 1

  • Mathis Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240426001561 KS Part B Supplier - Mass Immunization (Roster Biller Only) 3274973078 Practice locations: Girard, KS
O20240711000849 KS DME Supplier - Medical Supply Company 3274973078 Practice locations: Girard, KS

National Provider Directory

National Provider Directory
Tax ID family
Mathis Drugs2 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.

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.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1245007855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W SAINT JOHN ST",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667431213",
            "telephone_number": "620-724-4313",
            "fax_number": "620-724-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W SAINT JOHN ST",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667431213",
            "telephone_number": "620-724-4313",
            "fax_number": "620-724-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHIS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "918-542-4444"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005045520001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mathis Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mathis Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Girard, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.