Organization Active NPI

JC Pharmacy LLC

Doing business as JC Pharmacy

  • Community/Retail Pharmacy
  • Junction City, KS
National Provider Identifier
1811328156
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
213015 Issued in KS
Legal business name
JC PHARMACY LLC
Doing business as
JC Pharmacy
Kollhoff Pharmacy
Practice address
407 S Washington St
Junction City, KS 66441-3748
Phone
(785) 404-6144
Fax
(785) 246-5746
NPI assigned
Dec 12, 2013
Last updated
Nov 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Dr. Sue Kollhoff, PHARMD
Title
Owner
Phone
(785) 238-1000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 213015 KS Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

407 S Washington St
Junction City, KS 66441-3748

Mailing address

407 S Washington St
Junction City, KS 66441-3748
Phone (785) 238-1000

Other identifiers 2

IdentifierTypeStateIssuer
201091500AMedicaidKS
2143279OtherPK

Other names 2

  • JC Pharmacy Doing business as
  • Kollhoff Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171102003092 KS Part B Supplier - Pharmacy 5799041075 Practice locations: Junction City, KS
O20171107003225 KS Part B Supplier - Mass Immunization (Roster Biller Only) 5799041075 Practice locations: Junction City, KS

National Provider Directory

National Provider Directory

Locations

112 W Iron Ave
Salina, KS 67401

Practitioners & affiliated clinicians

Practitioners 4

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": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1811328156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S WASHINGTON ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664413748",
            "telephone_number": "785-238-1000",
            "fax_number": "785-238-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S WASHINGTON ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664413748",
            "telephone_number": "785-404-6144",
            "fax_number": "785-246-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "KOLLHOFF",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-238-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "213015",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201091500A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kollhoff Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Junction City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.