Bloodhart Drug LLC

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

004300246227F01 Issued in KS

Legal business name

BLOODHART DRUG LLC

Practice address

621 S Main St
Hugoton, KS 67951-2419

Phone

(620) 544-4369

Fax

(620) 544-7045

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Winters

Title

Vice President

Phone

(816) 777-0609

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Winters Pharmacies Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1811050669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6680",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640646680",
            "telephone_number": "816-777-0609",
            "fax_number": "816-777-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S MAIN ST",
            "city": "HUGOTON",
            "state": "KS",
            "postal_code": "679512419",
            "telephone_number": "620-544-4369",
            "fax_number": "620-544-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOODHART DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-777-0609",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "KS",
            "license": "004300246227F01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200118220-A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200452510-B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200452510-A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANSING PHARMACY",
            "identifier": "203043087",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "118383",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KOHLER PROFESSIONAL PHARM",
            "identifier": "203303814",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winters Pharmacies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Hugoton, KS
• Pharmacy Technician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.