Healthcare Provider Details

I. General information

NPI: 1497776447
Provider Name (Legal Business Name): COLUMBUS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E MAPLE ST
COLUMBUS KS
66725-1804
US

IV. Provider business mailing address

200 E MAPLE ST
COLUMBUS KS
66725-1804
US

V. Phone/Fax

Practice location:
  • Phone: 620-429-1999
  • Fax: 620-429-1278
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number208311
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID SCHOECH
Title or Position: OWNER PIC
Credential: RPH
Phone: 620-429-1999