Organization Active NPI

Family Prescription Shop Inc

  • Long Term Care Pharmacy
  • Wichita, KS
National Provider Identifier
1619168374
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2-13036 Issued in KS
Legal business name
FAMILY PRESCRIPTION SHOP INC
Practice address
1919 N Amidon
Suite 220
Wichita, KS 67203
Phone
(316) 295-4721
Fax
(316) 295-4724
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jason Schmitz, PHARM D
Title
Director of Pharmacy Operations
Phone
(316) 295-4721

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Long Term Care Pharmacy 3336L0003X 2-13036 KS Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1919 N Amidon
Suite 220
Wichita, KS 67203

Mailing address

1919 N Amidon
Suite 220
Wichita, KS 67203
Phone (316) 295-4721

Other practice location 1

1969 W 21st St N
Wichita, KS 67203-2106
Phone (316) 295-4721

Other identifiers 1

IdentifierTypeStateIssuer
2027812OtherPK

Other names 1

  • HART PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Prescription Shop Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1919 N Amidon Ave
Ste 220
Wichita, KS 67203
Phone (316) 295-4721

1969 W 21st St N
Wichita, KS 67203
Phone (316) 660-7750

Practitioners & affiliated clinicians

Practitioners 1

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619168374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 N AMIDON",
            "address_2": "SUITE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67203",
            "telephone_number": "316-295-4721",
            "fax_number": "316-295-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N AMIDON",
            "address_2": "SUITE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67203",
            "telephone_number": "316-295-4721",
            "fax_number": "316-295-4724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1969 W 21st St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672032106",
            "country_code": "US",
            "telephone_number": "316-295-4721",
            "fax_number": "316-295-4724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY PRESCRIPTION SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "316-295-4721",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "2-13036",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2027812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.