Active NPI
Cardinal Drugstore Inc
Doing business as Cardinal Drugstore
- Community/Retail Pharmacy
- Chanute, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CARDINAL DRUGSTORE INC
- Doing business as
- Cardinal Drugstore
- Practice address
- 103 E Main St
Chanute, KS 66720-1844 - Phone
- (620) 430-9150
- Fax
- (620) 431-4969
- NPI assigned
- Sep 9, 2020
- Last updated
- Sep 29, 2026
- 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
- William Earl Osborn
- Title
- Ao
- Phone
- (918) 542-4444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | NU | 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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200636910C | Medicaid | KS | |
| 2-112634 | Other | KS | PHARMACY LICENSE |
Other names 1
- Cardinal Drugstore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016529 | KS | DME Supplier - Pharmacy | 0648460360 |
2 other NPIs on this enrollment Practice locations: Chanute, KS |
| O20161019001813 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 0648460360 |
1 other NPI on this enrollment Practice locations: Chanute, KS |
National Provider Directory
National Provider Directory- Tax ID family
- Cardinal Drugstore Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cardinal Drugstore LTC
- Long Term Care Pharmacy
- Chanute, KS
- NPI 1487435673
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Bowen Pharmacy
- Community/Retail Pharmacy
- Parsons, KS
- NPI 1730268400
Member Of
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Miami, OK
- NPI 1497707137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1598370488",
"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": "2020-09-09",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "OSBORN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "918-542-4444"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200636910C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "2-112634",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cardinal Drugstore",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cardinal Drugstore",
"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 Sep 29, 2026; 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.