Organization Active NPI

Vollertsen Corporation

  • Community/Retail Pharmacy
  • Norton, KS
National Provider Identifier
1700969888
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
208413 Issued in KS
Legal business name
VOLLERTSEN CORPORATION
Practice address
102 S State St
Norton, KS 67654-2142
Phone
(785) 877-2721
Fax
(785) 877-2721
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Steven Vollertsen
Title
Owner Pharmacist
Phone
(785) 877-2721

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 208413 KS Primary

Addresses

Primary practice location

102 S State St
Norton, KS 67654-2142

Mailing address

PO Box 405
Norton, KS 67654-0405

Other identifiers 2

IdentifierTypeStateIssuer
100434760AMedicaidKS
1704332OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MOFFET DRUG Doing business as

National Provider Directory

National Provider Directory

Locations

102 S State St
Norton, KS 67654
Phone (785) 877-2721

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1700969888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "NORTON",
            "state": "KS",
            "postal_code": "676540405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S STATE ST",
            "city": "NORTON",
            "state": "KS",
            "postal_code": "676542142",
            "telephone_number": "785-877-2721",
            "fax_number": "785-877-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLLERTSEN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "VOLLERTSEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "785-877-2721"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "208413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100434760A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1704332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOFFET DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.