Wamego Drug Store Inc
Organization Active NPI Community/Retail Pharmacy · Wamego, KS
NPI 1619081692 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1619081692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 209286 (KS)
- Legal business name
- WAMEGO DRUG STORE INC
- Practice address
- 501 Lincoln St
Wamego, KS 66547-1633 - Phone
- (785) 456-9292
- Fax
- (785) 456-9628
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Chris King
- Title
- Owner
- Phone
- (785) 456-9292
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 3
-
Ethan Alexander Artzer, PHARMD
-
Curtis Maginley, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053667 | KS | DME Supplier - Pharmacy | 9032230339 | Practice locations: Wamego, KS |
| O20210625001949 | KS | Part B Supplier - Pharmacy | 9032230339 | Practice locations: Wamego, KS |
National Provider Directory
- Tax ID family
- Wamego Drug Store
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 209286 | KS | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
501 Lincoln St
Wamego, KS 66547-1633
Mailing address
PO Box 227
Wamego, KS 66547-0227
Phone (785) 456-9292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100443920B | Medicaid | KS | |
| 2031269 | Other | PK |
Other names
- WAMEGO DRUG STORE
Other providers in Wamego, KS
- Katherine M. Walker
- Wamego Crna
- Wamego Dental Center, P.a.
- Wamego Dental Professionals LLC
- Wamego Drug Store Inc
- Wamego Hospital Association
- Wamego Hospital Association
- Wamego Hospital Association
- Wamego Hospital Association
- Wamego Hospital Association
All providers in Wamego, KS · Community/Retail Pharmacy in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.