Vollertsen-Oberlin Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

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

Dec 12, 2006

Last updated

Mar 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kurt William Vollertsen, RPHNPI 1124110960

Title

Owner

Phone

(785) 475-2285

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ward Drug Store Doing business as

Locations

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.

• Kurt William Vollertsen

  • Pharmacist
  • Oberlin, KS
  • NPI 1124110960
  Authorized official Same address or phone

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1699836866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2006-12-12",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "VOLLERTSEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-475-2285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "8419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100440200A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100440200B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ward Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Robinson, PA-C
• Mollie Marie Tate, APRN
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan - Decatur County)
• Unger Chiropractic Clinic
• Vollertsen-Oberlin Inc (ward drug store)
• Kurt William Vollertsen
• Emily Rebecca Zillinger, ARNP-FNP

• Community/Retail Pharmacy in Oberlin, KS
• Providers in Oberlin, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.