STAFFORD COUNTY DRUG NPI 1184215113

NPI Information

  • NPI: 1184215113
  • Provider Name: STAFFORD COUNTY DRUG
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • CLIA Number: 17D2138439
  • Address: 329A N US HIGHWAY 281
    ST JOHN, KS
    ZIP 67576
  • Phone: (620) 377-5633

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NPI Details

STAFFORD COUNTY DRUG is a long term care pharmacy pharmacy in St John, KS. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. STAFFORD COUNTY DRUG NPI is 1184215113. The provider is registered as an organization entity type.

The provider's business location address is:

329A N US HIGHWAY 281
ST JOHN, KS
ZIP 67576-309
Phone: (620) 377-5633

The provider's authorized official is Lance Freeman .
The authorized official title is Owner and has the following contact phone number (620) 377-5633.

The CLIA number assigned to this NPI record is 17D2138439 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2021 and was last updated on 2/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201170370AMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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