# FOUR B CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOUR B CORP
- **Other names:** PRICE CHOPPER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174638274
- **Legal business name:** FOUR B CORP
- **Authorized official:** JANICE HUMPHREYS (THIRD PARTY ADMIN)
- **Authorized official phone:** (913) 573-1294

## Contact information

- **Practice address:** 1600 SE BLUE PARKWAY, LEES SUMMIT, MO 64063
- **Practice address phone:** (816) 554-2951
- **Practice address fax:** (816) 554-2964
- **Mailing address:** 5830 WOODSON ST, MISSION, KS 66202-2746
- **Mailing address phone:** (913) 573-1294
- **Mailing address fax:** (913) 551-8580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | 6045 | MO | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 08/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2047576 | PK | — |
| 05 | — | 608863502 | — | MO |
| 05 | — | 628863508 | — | MO |