Organization Active NPI

Leekers Family Foods Inc

  • Community/Retail Pharmacy
  • Wichita, KS
National Provider Identifier
1760592000
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-13205 Issued in KS
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

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Kent Brand, PHARMDNPI 1316632649
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100438780AMedicaidKS

Other names 1

  • Leekers Family Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Leekers Valley Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.