Organization Active NPI

Cardinal Drugstore Inc

  • Long Term Care Pharmacy
  • Chanute, KS
National Provider Identifier
1487435673
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CARDINAL DRUGSTORE INC
Practice address
103 E Main St
Chanute, KS 66720-1844
Phone
(620) 430-9150
Fax
(620) 431-4969
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
William Earl Osborn
Title
VP
Phone
(918) 542-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

103 E Main St
Chanute, KS 66720-1844

Mailing address

103 E Main St
Chanute, KS 66720-1844
Phone (620) 430-9150

Other identifiers 1

IdentifierTypeStateIssuer
30003886470003MedicaidKS

Other names 1

  • Cardinal Drugstore LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Drugstore Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1487435673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201844",
            "telephone_number": "620-430-9150",
            "fax_number": "620-431-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201844",
            "telephone_number": "620-430-9150",
            "fax_number": "620-431-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL DRUGSTORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "918-542-4444"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003886470003",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal Drugstore LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chanute, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.