GRAVES DRUG
NPI 1164516019
Pharmacy - Community/Retail Pharmacy in Winfield, KS

Q: What is Graves Drug's NPI number?

The NPI number for Graves Drug is 1164516019. It was assigned to this organization in the NPPES registry on October 3, 2006.

Q: What is Graves Drug's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Graves Drug was last updated on August 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 03, 2006CLIA 17D2172629 · Waiver

905 MAIN ST, WINFIELD, KS 67156(620) 221-0080(620) 221-4383 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Graves Drug NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAVES DRUG (NPI 1164516019) is a healthcare organization registered as a community/retail pharmacy in Winfield, Kansas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Fred Humpert, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1164516019

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameGRAVES DRUG

Location Address905 MAIN STWinfield, KS 67156-3604

Mailing Address905 Main StWinfield, KS 67156-3604 · (620) 221-0080 · Fax (620) 221-4383

Phone(620) 221-0080

Fax(620) 221-4383

Organization SubpartNo

Authorized OfficialFred HumpertPharmacist · (620) 221-0080

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 5, 2010

✔ NPI 1164516019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in KS · 5083

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

905 MAIN ST, Winfield, KS 67156

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Other Identifiers 2

Medicare NSC0493790002KS

Medicaid100435690AKS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2172629

Graves Drug Winfield · Winfield, KS

Active · expires Apr 7, 2028

CLIA Number17D2172629

Laboratory TypePharmacy

Certificate Effective DateApril 8, 2026

Certificate Expiration DateApril 7, 2028

Laboratory DirectorJonathan R. Hansen

Laboratory Phone(620) 221-0080

Laboratory LocationGraves Drug Winfield905 Main St, Winfield, KS 67156

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA TOMPKINS PHARMD

Pharmacist