NPIMap

Organization Active NPI

Four B Corp

Doing business as Hen House

  • Pharmacy
  • Kansas City, MO
National Provider Identifier
1265547368
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5643 Issued in MO
Legal business name
FOUR B CORP
Doing business as
Hen House
Practice address
6238 N Chatham Ave
Kansas City, MO 64151-2472
Phone
(816) 746-1475
Fax
(816) 746-1410
NPI assigned
Aug 20, 2006
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUR B CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Janice Arenson
Title
Pharmacy Support
Phone
(913) 573-1294

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 5643 MO Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

6238 N Chatham Ave
Kansas City, MO 64151-2472

Mailing address

5300 Speaker Rd
Kansas City, KS 66106-1050
Phone (913) 573-1294

Other identifiers 3

IdentifierTypeStateIssuer
2047137OtherPK
602803405MedicaidMO
622803401MedicaidMO

Other names 1

  • HEN HOUSE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090723000149 MO Part B Supplier - Mass Immunization (Roster Biller Only) 9133155054 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grandview, MO; Lees Summit, MO; Kansas City, MO; Harrisonville, MO

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Part of
Price Chopper Pharmacy

Locations

5300 Speaker Rd
Kansas City, KS 66106
Phone (913) 573-1254

6238 N Chatham Ave
Kansas City, MO 64151
Phone (816) 741-8656

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1265547368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SPEAKER RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661061050",
            "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": "6238 N CHATHAM AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512472",
            "telephone_number": "816-746-1475",
            "fax_number": "816-746-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR B CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR B CORP",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "ARENSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PHARMACY SUPPORT",
        "authorized_official_telephone_number": "913-573-1294"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "5643",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602803405",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622803401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEN HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.