Organization Active NPI

Queen-Morris Ventures LLC

  • Community/Retail Pharmacy
  • Spring Hill, KS
National Provider Identifier
1508937525
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-10186 Issued in KS
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

Updated by the provider on Feb 7, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30003932320002MedicaidKS
2027257OtherPK
30003932320004MedicaidKS

Other names 1

  • Queen's Price Chopper Pharmacy #7 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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
17D2168424Queen'S Price Chopper #722350 S Harrison St, Spring Hill, KS 66083Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.