Active NPI
Graves Drug Store Emporia Inc
- Community/Retail Pharmacy
- Emporia, KS
National Provider Identifier
1871527192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-08035
- Legal business name
- GRAVES DRUG STORE EMPORIA INC
- Practice address
- 609 Commercial St
Emporia, KS 66801-3901 - Phone
- (620) 343-2323
- Fax
- (620) 343-2663
- NPI assigned
- Jul 10, 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
- Dr. John P Kollhoff, PHARMD
- Title
- Pharmacist/Owner
- Phone
- (620) 343-2323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2-08035 | KS | Primary |
Addresses
Primary practice location
609 Commercial St
Emporia, KS 66801-3901
Mailing address
609 Commercial St
Emporia, KS 66801-3901
Phone (620) 343-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170802002990 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 9830216290 | Practice locations: Emporia, KS |
National Provider Directory
National Provider DirectoryLocations
609 Commercial St
Emporia, KS 66801
Phone (620) 343-2323
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Emporia, KS
- NPI 1376947408
-
- Pharmacist
- Emporia, KS
- NPI 1629514641
-
- Pharmacist
- Emporia, KS
- NPI 1013290063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871527192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 COMMERCIAL ST",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668013901",
"telephone_number": "620-343-2323",
"fax_number": "620-343-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 COMMERCIAL ST",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668013901",
"telephone_number": "620-343-2323",
"fax_number": "620-343-2663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAVES DRUG STORE EMPORIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOLLHOFF",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "620-343-2323",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "2-08035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emporia, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.