Organization Active NPI

Kueker Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Hesston, KS
National Provider Identifier
1790158673
Registry record updated May 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-13210 Issued in KS
Legal business name
KUEKER FAMILY PHARMACY LLC
Practice address
101 S Main St
Hesston, KS 67062-8940
Phone
(620) 327-2211
Fax
(620) 327-2500
NPI assigned
Nov 2, 2015
Last updated
May 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2020

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

Authorized official

Name
Sandie Kay KuekerNPI 1457767402
Title
Pharmacist/Owner-Member
Phone
(620) 327-2211

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2-13210 KS
Community/Retail Pharmacy 3336C0003X 2-13210 KS Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

101 S Main St
Hesston, KS 67062-8940

Mailing address

101 S Main St
Hesston, KS 67062-8940
Phone (620) 327-2211

Other names 1

  • Hesston Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160908001847 KS DME Supplier - Pharmacy 2466743513 Practice locations: Hesston, KS
O20231121003639 KS Part B Supplier - Pharmacy 2466743513 Practice locations: Hesston, KS

National Provider Directory

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": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588982400000",
    "number": "1790158673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670628940",
            "telephone_number": "620-327-2211",
            "fax_number": "620-327-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670628940",
            "telephone_number": "620-327-2211",
            "fax_number": "620-327-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUEKER FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A",
        "authorized_official_last_name": "KUEKER",
        "authorized_official_first_name": "SANDIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PHARMACIST/OWNER-MEMBER",
        "authorized_official_telephone_number": "620-327-2211"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "2-13210",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-13210",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hesston Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hesston Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hesston, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; 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.