Four B Corp
Organization Active NPI Pharmacy · Overland Park, KS
NPI 1992810097 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1992810097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 2-09251 (KS)
- Legal business name
- FOUR B CORP
- Practice address
- 6900 W 135TH St
Overland Park, KS 66223-4800 - Phone
- (913) 814-9355
- Fax
- (913) 685-0102
- NPI assigned
- Aug 20, 2006
- 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
Member organizations 1
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2-09251 | KS | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
6900 W 135TH St
Overland Park, KS 66223-4800
Mailing address
5830 Woodson St
Mission, KS 66202-2746
Phone (913) 573-1294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100439490A | Medicaid | KS | |
| 2026859 | Other | PK | |
| 100439490B | Medicaid | KS |
Other names
- HEN HOUSE
Other providers in Overland Park, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.