NPIMap

Organization Active NPI

Vollertsen-Oberlin Inc

Doing business as ward drug store

  • Durable Medical Equipment & Medical Supplies
  • Oberlin, KS
National Provider Identifier
1659480325
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8419 Issued in KS
Legal business name
VOLLERTSEN-OBERLIN INC
Doing business as
ward drug store
Practice address
142 S Penn Ave
Oberlin, KS 67749-2243
Phone
(785) 475-2285
Fax
(785) 470-2470
NPI assigned
Aug 29, 2006
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Mr. Kurt W Vollertsen, RPHNPI 1124110960
Title
Owner
Phone
(785) 475-2285

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8419 KS Primary

Addresses

Primary practice location

142 S Penn Ave
Oberlin, KS 67749-2243

Mailing address

PO Box 297
Oberlin, KS 67749-0297
Phone (785) 475-2285

Other identifiers 2

IdentifierTypeStateIssuer
100440200BMedicaidKS
100440200AMedicaidKS

Other names 1

  • ward drug store Doing business as

National Provider Directory

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1659480325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677490297",
            "telephone_number": "785-475-2285",
            "fax_number": "785-470-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S PENN AVE",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677492243",
            "telephone_number": "785-475-2285",
            "fax_number": "785-470-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLLERTSEN-OBERLIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "VOLLERTSEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-475-2285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "8419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100440200B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100440200A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ward drug store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oberlin, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.