Individual provider Active NPI

Mollie Jill Bretz, RPH

  • Pharmacist
  • Atwood, KS
National Provider Identifier
1437976875
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-12819 Issued in KS
Practice address
416 State St
Atwood, KS 67730-1929
Phone
(785) 626-3214
NPI assigned
Sep 25, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-12819 KS Primary

Addresses

Primary practice location

416 State St
Atwood, KS 67730-1929

Mailing address

PO Box 694
Hoxie, KS 67740-0694
Phone (785) 675-9038

Other practice location 1

414 Main St
Quinter, KS 67752-5205
Phone (785) 754-3312

Other practice location 2

833 Main St
Hoxie, KS 67740-9606
Phone (785) 675-3461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1-12819KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Atwood Pharmacy Inc CurrentSince Sep 29, 2024 Accepting new patients
Rays Pharmacy Inc Past Accepting new patients
Mahanna Pharmacy Inc Past Accepting new patients

Locations

416 State St
Atwood, KS 67730
Phone (785) 626-3214

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1437976875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 694",
            "city": "HOXIE",
            "state": "KS",
            "postal_code": "677400694",
            "telephone_number": "785-675-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 STATE ST",
            "city": "ATWOOD",
            "state": "KS",
            "postal_code": "677301929",
            "telephone_number": "785-626-3214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Main St",
            "address_purpose": "LOCATION",
            "city": "Quinter",
            "state": "KS",
            "postal_code": "677525205",
            "country_code": "US",
            "telephone_number": "785-754-3312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Main St",
            "address_purpose": "LOCATION",
            "city": "Hoxie",
            "state": "KS",
            "postal_code": "677409606",
            "country_code": "US",
            "telephone_number": "785-675-3461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRETZ",
        "first_name": "MOLLIE",
        "middle_name": "JILL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-12819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.