Healthcare Provider Details

I. General information

NPI: 1629071246
Provider Name (Legal Business Name): KOECHNER PHARMACIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S 6TH ST
HIAWATHA KS
66434-2306
US

IV. Provider business mailing address

101 S 6TH ST
HIAWATHA KS
66434-2306
US

V. Phone/Fax

Practice location:
  • Phone: 785-742-2125
  • Fax: 785-742-4551
Mailing address:
  • Phone: 785-742-2125
  • Fax: 785-742-4551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number210101
License Number StateKS

VIII. Authorized Official

Name: JOSEPH KOECHNER
Title or Position: OWNER
Credential: RPH
Phone: 785-742-2125