Organization Active NPI

Witmer Drug Store Inc.

  • Community/Retail Pharmacy
  • Phillipsburg, KS
National Provider Identifier
1306932777
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8735 Issued in KS
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

Updated by the provider on Aug 21, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100442530AMedicaidKS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.