Organization Active NPI

West Wichita Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Wichita, KS
National Provider Identifier
1548737182
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WEST WICHITA FAMILY PHARMACY LLC
Practice address
8200 W Central Ave Ste 5
Wichita, KS 67212-3661
Phone
(316) 491-6428
Fax
(316) 512-4001
NPI assigned
Nov 1, 2018
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
John Darrah
Title
Manager
Phone
(316) 491-6481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

8200 W Central Ave Ste 5
Wichita, KS 67212-3661

Mailing address

8200 W Central Ave
Wichita, KS 67212-9503
Phone (316) 491-6428

Other identifiers 1

IdentifierTypeStateIssuer
201270110AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200307000053 KS Part B Supplier - Pharmacy 6305189473 Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

8200 W Central Ave
Ste 5
Wichita, KS 67212
Phone (316) 491-6428

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1548737182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-491-6428",
            "fax_number": "316-512-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE STE 5",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123661",
            "telephone_number": "316-491-6428",
            "fax_number": "316-512-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WICHITA FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "DARRAH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "316-491-6481"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201270110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.