NPIMap

Organization Active NPI

Northeast Kansas Center for Health and Wellness, Inc.

  • Pharmacy
  • Horton, KS
National Provider Identifier
1700816030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2-09829 Issued in KS
Legal business name
NORTHEAST KANSAS CENTER FOR HEALTH AND WELLNESS, INC.
Practice address
1903 Euclid Ave
Horton, KS 66439-1238
Phone
(785) 486-3651
Fax
(785) 486-2842
NPI assigned
Jul 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dale A White
Title
Ceo
Phone
(785) 486-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2-09829 KS Primary

Addresses

Primary practice location

1903 Euclid Ave
Horton, KS 66439-1238

Mailing address

240 W 18TH St
Horton, KS 66439-1245
Phone (785) 486-2642

Other names 1

  • Horton Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Northeast Kansas Center for Health and Wellness Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the 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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700816030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W 18TH ST",
            "city": "HORTON",
            "state": "KS",
            "postal_code": "664391245",
            "telephone_number": "785-486-2642",
            "fax_number": "785-486-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 EUCLID AVE",
            "city": "HORTON",
            "state": "KS",
            "postal_code": "664391238",
            "telephone_number": "785-486-3651",
            "fax_number": "785-486-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST KANSAS CENTER FOR HEALTH AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-486-2642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "2-09829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horton Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Horton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.