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NPI Code Detail

MEDICARE: FOUR B CORP

MEDICARE: FOUR B CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy5403MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22051473OTHERPK
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447365549
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUR B CORP
Provider Business Mailing Address
First Line : 5300 SPEAKER RD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66106-1050
Country : US
Telephone Number : 913-573-1294
Fax Number : 913-551-8580
Provider Business Practice Location Address
First Line : 500 NE BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2879
Country : US
Telephone Number : 816-468-7666
Fax Number : 816-436-0403
Authorized Official
Title or Position : PHARMACY SUPPORT
Name : JANICE ARENSON
Credential :
Telephone Number : 913-573-1294
Provider Enumeration Date : 08/20/2006
Last Update Date : 04/07/2017

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Directions to “FOUR B CORP ” Practice Location

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