Organization Active NPI

Cardinal Drugstore Inc

Doing business as Cardinal Drugstore

  • Community/Retail Pharmacy
  • Chanute, KS
National Provider Identifier
1598370488
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
William Earl OsbornNPI 1497707137
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200636910CMedicaidKS
2-112634OtherKSPHARMACY LICENSE

Other names 1

  • Cardinal Drugstore Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930016529 KS DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 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 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.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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.

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.

Verify at the official NPI Registry.