Active NPI
Four B Corp
- Community/Retail Pharmacy
- Kansas City, MO
National Provider Identifier
1356456453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5644
- Legal business name
- FOUR B CORP
- Doing business as
- PRICE CHOPPER
- Practice address
- 8430 Wornall Rd
Kansas City, MO 64114-5812 - Phone
- (816) 361-5000
- Fax
- (816) 361-2642
- NPI assigned
- Aug 20, 2006
- Organization subpart
- Yes
- Parent organization
- FOUR B CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Humphreys
- Title
- Third Party Admin
- Phone
- (913) 573-1294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5644 | MO | Primary |
Addresses
Primary practice location
8430 Wornall Rd
Kansas City, MO 64114-5812
Mailing address
5830 Woodson St
Mission, KS 66202-2746
Phone (913) 573-1294
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047136 | Other | PK | |
| 603529603 | Medicaid | MO | |
| 623529609 | Medicaid | MO |
Other names 1
- PRICE CHOPPER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090723000149 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133155054 |
8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grandview, MO; Lees Summit, MO; Kansas City, MO; Harrisonville, MO |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
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 |
|---|---|---|---|
| 26D0966288 | Price Chopper Pharmacy #18 | Certificate of waiver | Apr 26, 2028 |
National Provider Directory
National Provider Directory- Part of
- Price Chopper Pharmacy
Locations
5300 Speaker Rd
Kansas City, KS 66106
Phone (913) 573-1254
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Overland Park, KS
- NPI 1447869805
-
- Pharmacist
- Manitowoc, WI
- NPI 1720329238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1356456453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5830 WOODSON ST",
"city": "MISSION",
"state": "KS",
"postal_code": "662022746",
"telephone_number": "913-573-1294",
"fax_number": "913-551-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8430 WORNALL RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641145812",
"telephone_number": "816-361-5000",
"fax_number": "816-361-2642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR B CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOUR B CORP",
"enumeration_date": "2006-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "HUMPHREYS",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "THIRD PARTY ADMIN",
"authorized_official_telephone_number": "913-573-1294"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "5644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2047136",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "603529603",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "623529609",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PRICE CHOPPER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.