NPIMap

Organization Active NPI

Kingman Drug Inc

Doing business as Cheney Pharmacy

  • Community/Retail Pharmacy
  • Cheney, KS
National Provider Identifier
1679643480
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-09990 Issued in KS
Legal business name
KINGMAN DRUG INC
Doing business as
Cheney Pharmacy
Practice address
114 N Main St
Cheney, KS 67025-8606
Phone
(316) 542-0464
Fax
(316) 542-0527
NPI assigned
Nov 9, 2006
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Merlin McFarland, RPHNPI 1831190149
Title
Owner
Phone
(620) 532-5113

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 2-09990 KS Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

114 N Main St
Cheney, KS 67025-8606

Mailing address

PO Box 511
Cheney, KS 67025-0511
Phone (316) 542-0464

Other identifiers 2

IdentifierTypeStateIssuer
2026579OtherPK
100080410BMedicaidKS

Other names 1

  • CHENEY PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050712001038 KS Part B Supplier - Mass Immunization (Roster Biller Only) 1153357066 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harper, KS; Kingman, KS; Cheney, KS
O20100930011266 KS DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 1153357066 Practice locations: Cheney, KS

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2184663Kingman Drug Inc114 North Main Street, Cheney, KS 67025Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Kingman Drug Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1679643480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "CHENEY",
            "state": "KS",
            "postal_code": "670250511",
            "telephone_number": "316-542-0464",
            "fax_number": "316-542-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "city": "CHENEY",
            "state": "KS",
            "postal_code": "670258606",
            "telephone_number": "316-542-0464",
            "fax_number": "316-542-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGMAN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "MERLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-532-5113",
        "authorized_official_credential": "RPH"
    },
    "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": "KS",
            "license": "2-09990",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2026579",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080410B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHENEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheney, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.