Organization Active NPI

Defever Osborn Drug

  • Pharmacist
  • Independence, KS
National Provider Identifier
1790779460
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
209687 Issued in KS
Legal business name
DEFEVER OSBORN DRUG
Practice address
205 N Penn Ave
Independence, KS 67301-3323
Phone
(620) 331-4200
Fax
(620) 331-8220
NPI assigned
Sep 8, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wendy D. Derrick
Title
Pharmacy Manager
Phone
(620) 331-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 209687 KS Primary

Addresses

Primary practice location

205 N Penn Ave
Independence, KS 67301-3323

Mailing address

205 N Penn Ave
Independence, KS 67301-3323
Phone (620) 331-4200

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": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790779460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N PENN AVE",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013323",
            "telephone_number": "620-331-4200",
            "fax_number": "620-331-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N PENN AVE",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013323",
            "telephone_number": "620-331-4200",
            "fax_number": "620-331-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFEVER OSBORN DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERRICK",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "620-331-4200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "209687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.