Active NPI
Leekers Family Foods Inc
- Community/Retail Pharmacy
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-13205
- Legal business name
- LEEKERS FAMILY FOODS INC
- Practice address
- 6223 N Broadway
Leekers Family Pharmacy
Wichita, KS 67219-1194 - Phone
- (316) 744-3948
- Fax
- (316) 744-9801
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kent Brand, PHARMD
- Title
- Pic
- Phone
- (316) 744-3948
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 208759 | KS | |
| Community/Retail Pharmacy | 3336C0003X | 2-13205 | KS | Primary |
Addresses
Primary practice location
6223 N Broadway
Leekers Family Pharmacy
Wichita, KS 67219-1194
Mailing address
6223 N Broadway Ave
Park City, KS 67219-1101
Phone (316) 744-3948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100438780A | Medicaid | KS |
Other names 1
- Leekers Family Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170822003038 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 3072885201 |
1 other NPI on this enrollment Practice locations: Valley Center, KS; Park City, KS |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Valley Center, KS
- NPI 1629617188
O20170822003038
National Provider Directory
National Provider Directory- Tax ID family
- Leekers Valley Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Valley Center, KS
- NPI 1629617188
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Park City, KS
- NPI 1316632649
-
- Pharmacist
- Wichita, KS
- NPI 1851838874
-
- Pharmacist
- Park City, KS
- NPI 1427559442
-
- Pharmacist
- Park City, KS
- NPI 1598598112
-
- Pharmacist
- Park City, KS
- NPI 1568742187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1760592000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6223 N BROADWAY AVE",
"city": "PARK CITY",
"state": "KS",
"postal_code": "672191101",
"telephone_number": "316-744-3948",
"fax_number": "316-744-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6223 N BROADWAY",
"address_2": "LEEKERS FAMILY PHARMACY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672191194",
"telephone_number": "316-744-3948",
"fax_number": "316-744-9801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEEKERS FAMILY FOODS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "BRAND",
"authorized_official_first_name": "KENT",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "316-744-3948",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "208759",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "2-13205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100438780A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Leekers Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.