Organization Active NPI

Four B Corp

Doing business as Price Chopper Pharmacy

  • Pharmacy
  • Kansas City, KS
National Provider Identifier
1740695469
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2-13039 Issued in KS
Legal business name
FOUR B CORP
Doing business as
Price Chopper Pharmacy
Practice address
7600 State Ave
Kansas City, KS 66112-2818
Phone
(913) 647-5955
Fax
(913) 647-5958
NPI assigned
Jun 23, 2014
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUR B CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Janice Humphreys
Title
Third Party Admin
Phone
(913) 573-1294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2-13039 KS Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

7600 State Ave
Kansas City, KS 66112-2818

Mailing address

5830 Woodson St
Mission, KS 66202-2746
Phone (913) 573-1294

Other identifiers 2

IdentifierTypeStateIssuer
2146404OtherPK
100439440KMedicaidKS

Other names 1

  • Price Chopper Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090805000202 KS Part B Supplier - Mass Immunization (Roster Biller Only) 9133155054 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kansas City, KS; Shawnee, KS; Roeland Park, KS; Prairie Village, KS; Overland Park, KS; Olathe, KS; Leavenworth, KS; Fairway, KS

Other NPIs on the same Medicare enrollment 14

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

View all 14

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
17D2182337Price Chopper Pharmacy #067600 State Ave, Kansas City, KS 66112Certificate of waiverApr 19, 2028

National Provider Directory

National Provider Directory
Part of
Four B Corp

Locations

7600 State Ave
Kansas City, KS 66112
Phone (913) 299-8298

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": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1740695469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 WOODSON ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022746",
            "telephone_number": "913-573-1294",
            "fax_number": "913-551-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122818",
            "telephone_number": "913-647-5955",
            "fax_number": "913-647-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR B CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR B CORP",
        "enumeration_date": "2014-06-23",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "THIRD PARTY ADMIN",
        "authorized_official_telephone_number": "913-573-1294"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "2-13039",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146404",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439440K",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Price Chopper Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.