Organization Active NPI

T&J Enterprise LLC

  • Community/Retail Pharmacy
  • Augusta, KS
National Provider Identifier
1285924431
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-10334 Issued in KS
Legal business name
T&J ENTERPRISE LLC
Practice address
1630 Ohio St
Augusta, KS 67010-2142
Phone
(316) 262-2001
Fax
(316) 775-3469
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Jeffrey Hilgers, RPHNPI 1477931202
Title
Owner/MGR
Phone
(316) 253-4384

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-10334 KS Primary

Addresses

Primary practice location

1630 Ohio St
Augusta, KS 67010-2142

Mailing address

1630 Ohio St
Augusta, KS 67010-2142
Phone (316) 775-3714

Other identifiers 3

IdentifierTypeStateIssuer
200717780BMedicaidKS
2129880OtherPK
200717780AMedicaidKS

Other names 1

  • HILGERS FAMILY PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110916000153 KS DME Supplier - Pharmacy 1557532827 Practice locations: Augusta, KS
O20180416001219 KS Part B Supplier - Mass Immunization (Roster Biller Only) 1557532827 Practice locations: Augusta, KS

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hilgers Family Pharmacy1630 N Ohio, Augusta, KS 67010-2142(316) 262-2001 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Aug 5, 2011

National Provider Directory

National Provider Directory

Locations

1630 N Ohio St
Augusta, KS 67010
Phone (316) 262-2001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1285924431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 OHIO ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670102142",
            "telephone_number": "316-775-3714",
            "fax_number": "316-775-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 OHIO ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670102142",
            "telephone_number": "316-262-2001",
            "fax_number": "316-775-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&J ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "HILGERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "316-253-4384",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-10334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200717780B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129880",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200717780A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILGERS FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.