Organization Active NPI

Neighborhood Pharmacy 0002 LLC

  • Community/Retail Pharmacy
  • Wichita, KS
National Provider Identifier
1629588454
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-103547 Issued in KS
Legal business name
NEIGHBORHOOD PHARMACY 0002 LLC
Practice address
328 E Pawnee St
Wichita, KS 67211-4847
Phone
(316) 665-4427
Fax
(888) 252-7110
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Ebube Otuonye, RPH
Title
Owner
Phone
(316) 665-4427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2-103547 KS Primary

Addresses

Primary practice location

328 E Pawnee St
Wichita, KS 67211-4847

Mailing address

PO Box 685
Wichita, KS 67201-0685
Phone (316) 665-4427

Other names 3

  • Neighborhood Pharmacy Doing business as
  • Dollar Master Pharmacy Other name
  • Express Pharmacy Other name

National Provider Directory

National Provider Directory

Locations

328 E Pawnee St
Wichita, KS 67211
Phone (316) 665-4427

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1629588454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010685",
            "telephone_number": "316-665-4427",
            "fax_number": "888-252-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 E PAWNEE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114847",
            "telephone_number": "316-665-4427",
            "fax_number": "888-252-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD PHARMACY 0002 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "OTUONYE",
        "authorized_official_first_name": "EBUBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-665-4427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-103547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dollar Master Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Express Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 16, 2018; 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.