Active NPI
Witmer Drug Store Inc.
- Community/Retail Pharmacy
- Phillipsburg, KS
National Provider Identifier
1306932777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 8735
- Legal business name
- WITMER DRUG STORE INC.
- Practice address
- 779 3Rd St
Phillipsburg, KS 67661-1915 - Phone
- (785) 543-2032
- Fax
- (785) 543-2472
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bailey Imm, PHARMD
- Title
- Pic
- Phone
- (785) 543-2032
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 8735 | KS | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
779 3Rd St
Phillipsburg, KS 67661-1915
Mailing address
779 3Rd St
Phillipsburg, KS 67661-1915
Phone (785) 543-2032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100442530A | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
779 3rd St
Phillipsburg, KS 67661
Phone (785) 543-2032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1306932777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "779 3RD ST",
"city": "PHILLIPSBURG",
"state": "KS",
"postal_code": "676611915",
"telephone_number": "785-543-2032",
"fax_number": "785-543-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 3RD ST",
"city": "PHILLIPSBURG",
"state": "KS",
"postal_code": "676611915",
"telephone_number": "785-543-2032",
"fax_number": "785-543-2472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WITMER DRUG STORE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "IMM",
"authorized_official_first_name": "BAILEY",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "785-543-2032",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "8735",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100442530A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phillipsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.