NPIMap

Organization Active NPI

Four B Corp

Doing business as Price Chopper

  • Community/Retail Pharmacy
  • Overland Park, KS
National Provider Identifier
1366557464
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-09374 Issued in KS
Legal business name
FOUR B CORP
Doing business as
Price Chopper
Practice address
7000 W 75TH St
Overland Park, KS 66204-3029
Phone
(913) 432-3396
Fax
(913) 362-8728
NPI assigned
Aug 20, 2006
Last updated
Jul 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUR B CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Janice Arenson
Title
3Rd Party Admin.
Phone
(913) 573-1294

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 2-09374 KS Primary

Addresses

Primary practice location

7000 W 75TH St
Overland Park, KS 66204-3029

Mailing address

5300 Speaker Rd
Kansas City, KS 66106-1050
Phone (913) 573-1294

Other identifiers 3

IdentifierTypeStateIssuer
2026216OtherPK
100439500BMedicaidKS
100439500AMedicaidKS

Other names 1

  • PRICE CHOPPER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090805000202 KS Part B Supplier - Mass Immunization (Roster Biller Only) 9133155054 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kansas City, KS; Shawnee, KS; Roeland Park, KS; Prairie Village, KS; Overland Park, KS; Olathe, KS; Leavenworth, KS; Fairway, KS

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

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
17D2125099Price Chopper Pharmacy #257000 W 75TH St, Overland Park, KS 66204Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory
Part of
Price Chopper Pharmacy

Locations

5300 Speaker Rd
Ofc
Kansas City, KS 66106

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": "1469577600000",
    "number": "1366557464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SPEAKER RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661061050",
            "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": "7000 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043029",
            "telephone_number": "913-432-3396",
            "fax_number": "913-362-8728"
        }
    ],
    "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": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "ARENSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "3RD PARTY ADMIN.",
        "authorized_official_telephone_number": "913-573-1294"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-09374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2026216",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439500B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439500A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRICE CHOPPER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.