Active NPI
Kueker Family Pharmacy LLC
- Community/Retail Pharmacy
- Hesston, KS
National Provider Identifier
1790158673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-13210
- 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, 2020
- 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
- Sandie Kay Kueker
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pharmacist
- Hesston, KS
- NPI 1457767402
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.