Organization Active NPI

Lindburg Pharmacy Inc

  • Community/Retail Pharmacy
  • Pittsburg, KS
National Provider Identifier
1902258528
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-100027 Issued in KS
Legal business name
LINDBURG PHARMACY INC
Doing business as
Lindburg Pharmacy Inc
Practice address
909 E Centennial Dr
Pittsburg, KS 66762-6601
Phone
(620) 231-8130
Fax
(620) 231-0524
NPI assigned
Jul 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Bill Osborn
Title
Vice President
Phone
(918) 542-4444

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-100027 KS Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

909 E Centennial Dr
Pittsburg, KS 66762-6601

Mailing address

909 E Centennial Dr
Pittsburg, KS 66762-6601
Phone (620) 231-8130

Other identifiers 4

IdentifierTypeStateIssuer
2160842OtherPK
30003950950003MedicaidKS
30003925020002MedicaidKS
0460410001OtherMEDICARE PTAN

Other names 1

  • Lindburg Pharmacy Inc Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930051596 KS DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 9436277696 1 other NPI on this enrollment
Practice locations: Pittsburg, KS
O20110823000690 KS Part B Supplier - Mass Immunization (Roster Biller Only) 9436277696 3 other NPIs on this enrollment
Practice locations: Pittsburg, KS

National Provider Directory

National Provider Directory
Tax ID family
Lindburg Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2720 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-3410

909 E Centennial Dr
Ste 1
Pittsburg, KS 66762
Phone (620) 231-8130

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1902258528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626601",
            "telephone_number": "620-231-8130",
            "fax_number": "620-231-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626601",
            "telephone_number": "620-231-8130",
            "fax_number": "620-231-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDBURG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "918-542-4444"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-100027",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160842",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003950950003",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003925020002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0460410001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindburg Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lindburg Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.