Active NPI
Dandurand Compounding Inc
- Community/Retail Pharmacy
- Wichita, KS
National Provider Identifier
1326461278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003887470001 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200728003017 | KS | Part B Supplier - Pharmacy | 1557785243 | Practice locations: Wichita, KS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2244655 | Dandurand Compounding Inc | Certificate of waiver | Dec 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Wichita, KS
- NPI 1518342187
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.