Active NPI
Queen-Morris Ventures LLC
- Community/Retail Pharmacy
- Spring Hill, KS
National Provider Identifier
1508937525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-10186
- Legal business name
- QUEEN-MORRIS VENTURES LLC
- Practice address
- 22350 S Harrison St
Spring Hill, KS 66083-3148 - Phone
- (913) 592-5350
- Fax
- (913) 686-5199
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toni Shields, RPH
- Title
- Director of Pharmacy
- Phone
- (913) 378-6938
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2-10186 | KS | Primary |
Addresses
Primary practice location
22350 S Harrison St
Spring Hill, KS 66083-3148
Mailing address
22350 S Harrison St
Spring Hill, KS 66083-3148
Phone (913) 592-5350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003932320002 | Medicaid | KS | |
| 2027257 | Other | PK | |
| 30003932320004 | Medicaid | KS |
Other names 1
- Queen's Price Chopper Pharmacy #7
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140109001164 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 9739380890 |
1 other NPI on this enrollment Practice locations: Overland Park, KS; Spring Hill, KS |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Overland Park, KS
- NPI 1124193701
O20140109001164
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 |
|---|---|---|---|
| 17D2168424 | Queen'S Price Chopper #7 | Certificate of waiver | Jun 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
8686 Antioch Rd
Overland Park, KS 66212
Phone (913) 642-4140
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Spring Hill, KS
- NPI 1528645108
-
- Pharmacist
- Spring Hill, KS
- NPI 1013594555
-
- Pharmacist
- Ottawa, KS
- NPI 1760725154
-
- Pharmacist
- Spring Hill, KS
- NPI 1790460418
-
- Pharmacist
- Overland Park, KS
- NPI 1780568345
-
- Pharmacist
- Overland Park, KS
- NPI 1972190874
-
- Pharmacist
- Spring Hill, KS
- NPI 1780351205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644192000000",
"number": "1508937525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22350 S HARRISON ST",
"city": "SPRING HILL",
"state": "KS",
"postal_code": "660833148",
"telephone_number": "913-592-5350",
"fax_number": "913-686-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22350 S HARRISON ST",
"city": "SPRING HILL",
"state": "KS",
"postal_code": "660833148",
"telephone_number": "913-592-5350",
"fax_number": "913-686-5199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEEN-MORRIS VENTURES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A",
"authorized_official_last_name": "SHIELDS",
"authorized_official_first_name": "TONI",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "913-378-6938",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "2-10186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003932320002",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2027257",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003932320004",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Queen's Price Chopper Pharmacy #7",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spring Hill, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.