Organization
IRWIN-POTTER DRUG-MEDICAL-LAB
Active
Organization
IRWIN-POTTER DRUG-MEDICAL-LAB
Active
Other names
IRWIN-POTTER DRUG-MEDICAL-LAB
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BRUMMER BS PHARMACY (GENERAL PARTNER)
(620) 842-5119
Entity
Organization
Contact information
Practice address
202 W MAIN ST, ANTHONY, KS 67003-2728
(620) 842-5119
(620) 842-3184
Mailing address
PO BOX 107, ANTHONY, KS 67003-0107
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
99-5632
OK
3336C0003X
Community/Retail Pharmacy
Primary
2-06385
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100643260A
—
KS
05
—
100643260B
—
KS
01
—
1701398
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2006
Last updated
06/15/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up