Four B Corp
Organization Active NPI Pharmacy · Prairie Village, KS
NPI 1942735501 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1942735501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 2-102402 (KS)
- Legal business name
- FOUR B CORP
- Practice address
- 6950 Mission LN
Prairie Village, KS 66208-2619 - Phone
- (913) 362-3100
- Fax
- (913) 647-0065
- NPI assigned
- Apr 20, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- FOUR B CORP
Authorized official
- Name
- Janice Humphreys
- Title
- Third Party Admin
- Phone
- (913) 573-1294
Other NPIs on the same Medicare enrollment 14
Practitioners 60
-
Paul Logan Aldeguer, RPH
-
Stephanie Brna Allen, PHARMD
-
Mary Bader, RPH
-
Michael George Ballenger, PHARM.D.
-
Michael Barton, PHARMD
-
Megan Marie Brooks, PHARMD
-
Elizabeth Anne Carmosino, PHARMD
-
Ethan Case, PHARMD
-
Lindsay Chacon, PHARM.D.
-
Courtney Chesser, PHARMD
-
Sharon Lynn Conklin, PHARMACIST
-
Stephanie E Dean, PHARM.D.
-
Jacob Henry Duehlmeyer, PHARMD
-
Maegan Nicole Easter, PHARM.D.
-
Frank Fanizza, PHARMD
-
Brian Fink, PHARMD
-
Karen Giddings, PHARMD
-
Erin Graham, PHARMD
-
Tedene Halliwell, RPH
-
Sarah E Hare, PHARM.D.
-
Lesley Michelle Johnson, PHARMD
-
Patricia Johnson, RPH
-
James Edward Kerr, R.PH
-
Georgia Galanou Luchen, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2182336 | Hen House Pharmacy #28 | Certificate of waiver | Apr 19, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090805000202 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133155054 |
14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kansas City, KS; Shawnee, KS; Roeland Park, KS; Prairie Village, KS; Overland Park, KS; Olathe, KS; Leavenworth, KS; Fairway, KS |
National Provider Directory
- Part of
- Price Chopper Pharmacy
Locations (25 of 27)
2724 W 53rd St
#35
Fairway, KS 66205
Phone (913) 236-4983
2724 W 53rd St
Fairway, KS 66205
Phone (913) 236-4983
7600 State Ave
Kansas City, KS 66112
Phone (913) 299-8298
7734 State Ave
Kansas City, KS 66112
Phone (913) 299-8298
4301 State Ave
Kansas City, KS 66102
Phone (913) 287-7977
7600 State Ave
#6
Kansas City, KS 66112
Phone (913) 647-5955
8120 Parallel Pkwy
#27
Kansas City, KS 66112
Phone (913) 334-1660
2803 S 47th St
#41
Kansas City, KS 66106
Phone (913) 831-4140
2107 S 4th St
#20
Leavenworth, KS 66048
Phone (913) 651-6134
11721 Roe Ave
Leawood, KS 66211
Phone (913) 338-0600
15000 W 87th Street Pkwy
Lenexa, KS 66215
Phone (913) 599-6423
5800 Antioch Rd
Mission, KS 66202
Phone (913) 831-4140
15970 S Mur Len Rd
#40
Olathe, KS 66062
Phone (913) 393-8050
2101 E Santa Fe St
Olathe, KS 66062
Phone (913) 782-2323
13600 S Blackbob Rd
#32
Olathe, KS 66062
Phone (913) 782-2039
2101 E Santa Fe St
#26
Olathe, KS 66062
Phone (913) 782-2323
15970 S Mur Len Rd
Olathe, KS 66062
Phone (913) 393-8050
7000 W 75th St
#25
Overland Park, KS 66204
Phone (913) 432-3396
6900 W 135th St
Overland Park, KS 66223
Phone (913) 814-9355
6900 W 135th St
#33
Overland Park, KS 66223
Phone (913) 814-9355
11930 College Blvd
Overland Park, KS 66210
Phone (913) 469-1800
4050 W 83rd St
Prairie Village, KS 66208
Phone (913) 648-1441
4950 Roe Blvd
#12
Roeland Park, KS 66205
Phone (913) 236-2879
4950 Roe Blvd
Roeland Park, KS 66205
Phone (913) 236-2879
12010 W 63rd St
#39
Shawnee, KS 66216
Phone (913) 268-8150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2-102402 | KS | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
6950 Mission LN
Prairie Village, KS 66208-2619
Mailing address
5830 Woodson St
Mission, KS 66202-2746
Phone (913) 573-1294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2168938 | Other | PK |
Other names
- Hen House Pharmacy
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.