Queen Enterprises L L C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-10106 Issued in KS

Legal business name

QUEEN ENTERPRISES L L C

Doing business as

Queen's Bonner Springs Price Chopper #10

Practice address

501 S Commercial Dr
Bonner Springs, KS 66012-9617

Phone

(913) 422-1040

Fax

(913) 422-0489

NPI assigned

Nov 15, 2006

Last updated

Dec 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Toni Shields, RPHNPI 1033552708

Title

Director of Pharmacy

Phone

(913) 378-6938

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Queen's Bonner Springs Price Chopper #10 Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Queen Enterprises L L C

  dba Queen's Price Chopper Pharmacy #6

  • Community/Retail Pharmacy
  • Overland Park, KS
  • NPI 1467513531

  O20131226000317

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Toni L. Shields, RPH

  • Pharmacist
  • Pleasant Hill, MO
  • NPI 1033552708
  Authorized official Same address or phone
• Patrick Joseph McNeill, PHARM. D.

  • Pharmacist
  • Leeds, AL
  • NPI 1184784431
  NPD
• Sandy Arjon, PHARMD

  • Pharmacist
  • Bonner Springs, KS
  • NPI 1164009247
  NPD (past)
• Travis Goff, PHARMD

  • Pharmacist
  • Bonner Springs, KS
  • NPI 1417544784
  NPD (past)
• Alexa Kathryn Graves, PHARMD

  • Pharmacist
  • Overland Park, KS
  • NPI 1780568345
  NPD (past)
• Rahman Qaisar

  • Pharmacist
  • Overland Park, KS
  • NPI 1740014323
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1861564650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S COMMERCIAL DR",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660129617",
            "telephone_number": "913-441-6988",
            "fax_number": "913-441-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S COMMERCIAL DR",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660129617",
            "telephone_number": "913-422-1040",
            "fax_number": "913-422-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN ENTERPRISES L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "913-378-6938",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-10106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2026874",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100440290D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200409870A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen's Bonner Springs Price Chopper #10",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jacqueline Liana Puno, PT
• Pure Movement Integrated Health Center LLC
• Zernain Naeem Qaisar, PHARMACIST
• Teresa Lynn Reichart-Vernon, LSCSW
• Mariana M Ruvalcaba
• John Michael Satchell, D.O.
• Hillary Schuberger
• Rae Sedgwick, PH.D.

• Community/Retail Pharmacy in Bonner Springs, KS
• Providers in Bonner Springs, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.