Organization Active NPI

Family Prescription Shop Inc

  • Community/Retail Pharmacy
  • Wichita, KS
National Provider Identifier
1972571784
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-13035 Issued in KS
Legal business name
FAMILY PRESCRIPTION SHOP INC
Practice address
4183 E Harry St
Wichita, KS 67218-3725
Phone
(316) 689-6100
Fax
(316) 689-6162
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Jason Schmitz, PHARMD
Title
Director of Operations
Phone
(316) 250-8609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2-13035 KS Primary

Addresses

Primary practice location

4183 E Harry St
Wichita, KS 67218-3725

Mailing address

4183 E Harry St
Wichita, KS 67218-3725
Phone (316) 689-6100

Other identifiers 1

IdentifierTypeStateIssuer
30003926810002MedicaidKS

Other names 1

  • Dandurand Drugstore Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Prescription Shop Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

7111 E 21st St N
Wichita, KS 67206
Phone (316) 269-1311

4183 E Harry St
Wichita, KS 67218
Phone (316) 689-6100

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1972571784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183725",
            "telephone_number": "316-689-6100",
            "fax_number": "316-689-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4183 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183725",
            "telephone_number": "316-689-6100",
            "fax_number": "316-689-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRESCRIPTION SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "316-250-8609",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-13035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003926810002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dandurand Drugstore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.