Ashcraft Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · South Hutchinson, KS
NPI 1760170690 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1760170690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ASHCRAFT PHARMACY LLC
- Practice address
- 503 N Main St
South Hutchinson, KS 67505-1123 - Phone
- (620) 663-2258
- Fax
- (620) 663-8340
- NPI assigned
- Apr 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. Kynan Gibson, PHARMD
- Title
- Owner/Pharmacist
- Phone
- (785) 827-4455
Member of 1
Practitioners 1
-
Savanna Anschutz, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240321002136 | KS | Part B Supplier - Pharmacy | 8022455476 | Practice locations: South Hutchinson, KS |
National Provider Directory
Locations
503 N Main St
South Hutchinson, KS 67505
Phone (620) 663-2258
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
503 N Main St
South Hutchinson, KS 67505-1123
Mailing address
601 E Iron Ave
Salina, KS 67401-3035
Phone (785) 827-4455
Other providers in South Hutchinson, KS
- Tamara Friday
- Robert Randall Hendrickson
- Shari Ann Hill
- Tiffany Dawn Holler
- Hutchinson Clinic, P.a., Inc.
All providers in South Hutchinson, KS · Community/Retail Pharmacy in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.