Active NPI
Four B Corp
- Community/Retail Pharmacy
- Overland Park, KS
National Provider Identifier
1801901905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FOUR B CORP
- Practice address
- 6450 Sprint Pkwy
Overland Park, KS 66251-6105 - Phone
- (913) 315-8646
- Fax
- (913) 315-0653
- NPI assigned
- Aug 20, 2006
- 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
- Lisa Martin
- Title
- 3Rd Party Admin
- Phone
- (913) 573-1294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 9650 | KS | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
6450 Sprint Pkwy
Overland Park, KS 66251-6105
Mailing address
6450 Sprint Pkwy
Overland Park, KS 66251-6105
Phone (913) 315-8646
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1717593 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 100439480A | Medicaid | KS | |
| 100439480B | Medicaid | KS |
Other names 1
- HEN HOUSE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090805000202 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133155054 |
14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kansas City, KS; Shawnee, KS; Roeland Park, KS; Prairie Village, KS; Overland Park, KS; Olathe, KS; Leavenworth, KS; Fairway, KS |
Other NPIs on the same Medicare enrollment 14
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223596800000",
"number": "1801901905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 SPRINT PKWY",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662516105",
"telephone_number": "913-315-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 SPRINT PKWY",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662516105",
"telephone_number": "913-315-8646",
"fax_number": "913-315-0653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR B CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2008-10-10",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "3RD PARTY ADMIN",
"authorized_official_telephone_number": "913-573-1294"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KS",
"license": "9650",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1717593",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100439480A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100439480B",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEN HOUSE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.