Prairiestar Health Center, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PRAIRIESTAR HEALTH CENTER, INC

Practice address

2700 E 30TH Ave
Hutchinson, KS 67502-1242

Phone

(620) 663-8484

NPI assigned

Jul 18, 2023

Organization subpart

No

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

Authorized official

Name

Justin Bryant Anderson

Title

Ceo

Phone

(620) 663-8484

Specialties & licenses 2

Addresses

Other names 1

• PrairieStar Pharmacy Other name

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJGECA

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1437838257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021242",
            "telephone_number": "620-663-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021242",
            "telephone_number": "620-663-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIESTAR HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-663-8484"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrairieStar Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PrairieStar Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rory D Poulain, RPH
• Tamara Poulton
• Jill L Powell, PA
• Michele Marie Powell
• Prairie Independent Living Resource Center
• Prairiestar Health Center, Inc
• Raul Francisco Prezas, MA, CFY-SLP
• Katy Deanne Price, P.A.
• Melissa Price, APRN
• Richard Price, DO

• Pharmacy in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.