NPIMap

Organization Active NPI

CK Pharmacies LLC

Doing business as CK Pharmacy - Moundridge

  • Community/Retail Pharmacy
  • Moundridge, KS
National Provider Identifier
1760862502
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-13183 Issued in KS
Legal business name
CK PHARMACIES LLC
Doing business as
CK Pharmacy - Moundridge
Practice address
200 E Pack St
Moundridge, KS 67107-8854
Phone
(620) 345-8650
Fax
(620) 345-6312
NPI assigned
Jun 7, 2015
Last updated
Jan 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Authorized official

Name
Dr. Steve Ray Kuder, PHARMDNPI 1871986935
Title
Managing-Member of CK Pharmacies, L
Phone
(620) 345-8650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-13183 KS Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

200 E Pack St
Moundridge, KS 67107-8854

Mailing address

PO Box 112
McPherson, KS 67460-0112
Phone (620) 345-8650

Other identifiers 2

IdentifierTypeStateIssuer
201115700AMedicaidKS
2153749OtherPK

Other names 1

  • CK Pharmacy - Moundridge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CK Pharmacies LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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": "1433635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1760862502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674600112",
            "telephone_number": "620-345-8650",
            "fax_number": "620-345-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E PACK ST",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671078854",
            "telephone_number": "620-345-8650",
            "fax_number": "620-345-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-07",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "KUDER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MANAGING-MEMBER OF CK PHARMACIES, L",
        "authorized_official_telephone_number": "620-345-8650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-13183",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201115700A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CK Pharmacy - Moundridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CK Pharmacy - Moundridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moundridge, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.