Organization Active NPI

CK Pharmacies LLC

Doing business as CK Pharmacy - McPherson

  • Community/Retail Pharmacy
  • McPherson, KS
National Provider Identifier
1245610971
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-100131 Issued in KS
Legal business name
CK PHARMACIES LLC
Doing business as
CK Pharmacy - McPherson
Practice address
200 N Main St
McPherson, KS 67460-4306
Phone
(620) 241-0022
Fax
(620) 241-7805
NPI assigned
Jun 8, 2015
Last updated
Jan 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Authorized official

Name
Dr. Steve Ray Kuder, PHARMDNPI 1871986935
Title
Managing-Member of CK Pharmacies, L
Phone
(620) 241-0022

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-100131 KS Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

200 N Main St
McPherson, KS 67460-4306

Mailing address

PO Box 112
McPherson, KS 67460-0112
Phone (620) 241-0022

Other identifiers 2

IdentifierTypeStateIssuer
2153798OtherPK
201115700BMedicaidKS

Other names 1

  • CK Pharmacy - McPherson Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210122000659 KS Part B Supplier - Mass Immunization (Roster Biller Only) 7719391341 Practice locations: McPherson, KS

National Provider Directory

National Provider Directory
Tax ID family
CK Pharmacies LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1245610971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674600112",
            "telephone_number": "620-241-0022",
            "fax_number": "620-241-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604306",
            "telephone_number": "620-241-0022",
            "fax_number": "620-241-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "KUDER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MANAGING-MEMBER OF CK PHARMACIES, L",
        "authorized_official_telephone_number": "620-241-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-100131",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153798",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201115700B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CK Pharmacy - McPherson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CK Pharmacy - McPherson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.