NPIMap

Organization Active NPI

Satanta District Hospital and Long-Term Care

Doing business as Satanta Retail Pharmacy

  • Community/Retail Pharmacy
  • Satanta, KS
National Provider Identifier
1326088972
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-09186 Issued in KS
Legal business name
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Doing business as
Satanta Retail Pharmacy
Practice address
410 Cheyenne
Satanta, KS 67870-8748
Phone
(620) 649-2450
Fax
(620) 649-2959
NPI assigned
Jun 8, 2006
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SATANTA DISTRICT HOSPITAL AND LONG-TERM CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Tina Pendergraft
Title
Administrator
Phone
(620) 649-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2-09186 KS Primary

Addresses

Primary practice location

410 Cheyenne
Satanta, KS 67870-8748

Mailing address

PO Box 159
Satanta, KS 67870-0159
Phone (620) 649-2761

Other identifiers 4

IdentifierTypeStateIssuer
1711476OtherKSNCPDP#
051144OtherKSBLUE CROSS #
100080490FMedicaidKS
100080490EMedicaidKS

Other names 1

  • Satanta Retail Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Satanta Hosp Long Term Care6 organizations share this tax ID, including this one
Part of
Satanta Hosp Long Term Care

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1326088972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "SATANTA",
            "state": "KS",
            "postal_code": "678700159",
            "telephone_number": "620-649-2761",
            "fax_number": "620-649-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CHEYENNE",
            "city": "SATANTA",
            "state": "KS",
            "postal_code": "678708748",
            "telephone_number": "620-649-2450",
            "fax_number": "620-649-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "PENDERGRAFT",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-649-2761"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-09186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP#",
            "identifier": "1711476",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS #",
            "identifier": "051144",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080490F",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080490E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satanta Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Satanta, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.