Organization Active NPI

Kueker Family Pharmacy LLC

Doing business as Hesston Pharmacy

  • Long Term Care Pharmacy
  • Hesston, KS
National Provider Identifier
1285248187
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KUEKER FAMILY PHARMACY LLC
Doing business as
Hesston Pharmacy
Practice address
101 S Main St
Hesston, KS 67062-8940
Phone
(620) 327-2211
Fax
(620) 327-2500
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Sandie Kay Kueker, RPHNPI 1457767402
Title
Owner-Member
Phone
(620) 327-2211

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

101 S Main St
Hesston, KS 67062-8940

Mailing address

PO Box 636
Hesston, KS 67062-0636
Phone (620) 327-2211

Other identifiers 1

IdentifierTypeStateIssuer
201124470AMedicaidKS

Other names 1

  • Hesston Pharmacy Doing business as

National Provider Directory

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": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1285248187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670620636",
            "telephone_number": "620-327-2211",
            "fax_number": "620-327-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670628940",
            "telephone_number": "620-327-2211",
            "fax_number": "620-327-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUEKER FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "KUEKER",
        "authorized_official_first_name": "SANDIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER-MEMBER",
        "authorized_official_telephone_number": "620-327-2211",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201124470A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hesston Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hesston, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.