Organization Active NPI

Dandurand Compounding Inc

  • Community/Retail Pharmacy
  • Wichita, KS
National Provider Identifier
1326461278
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DANDURAND COMPOUNDING INC
Practice address
2233 N Ridge Rd
Wichita, KS 67205-1099
Phone
(316) 685-2353
Fax
(316) 685-5331
NPI assigned
Jan 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Jason C. Schmitz
Title
Director of Operations
Phone
(316) 250-8609

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X 2-13023 KS

Addresses

Primary practice location

2233 N Ridge Rd
Wichita, KS 67205-1099

Mailing address

2233 N Ridge Road
Wichita, KS 67212
Phone (316) 685-2353

Other identifiers 1

IdentifierTypeStateIssuer
30003887470001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200728003017 KS Part B Supplier - Pharmacy 1557785243 Practice locations: Wichita, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2244655Dandurand Compounding Inc2233 N Ridge Road, Wichita, KS 67205Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Locations

2233 N Ridge Rd
Ste 101
Wichita, KS 67205
Phone (316) 729-6000

2233 N Ridge Rd
Wichita, KS 67205
Phone (316) 685-2353

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": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1326461278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 N RIDGE ROAD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67212",
            "telephone_number": "316-685-2353",
            "fax_number": "316-685-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 N RIDGE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051099",
            "telephone_number": "316-685-2353",
            "fax_number": "316-685-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDURAND COMPOUNDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "316-250-8609"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "KS",
            "license": "2-13023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003887470001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.