1. Home
  2. Directory
  3. Kansas
  4. Shawnee
  5. Pharmacy
  6. NPI Profile

PRICE CHOPPER
NPI 1710092812
Pharmacy - Community/Retail Pharmacy in Shawnee, KS

Active since August 20, 2006CLIA 17D2182347 · Waiver
12010 W 63RD ST, SHAWNEE, KS 66216(913) 268-8150 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Price Chopper NPPES

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

PRICE CHOPPER (NPI 1710092812) is a healthcare organization registered as a community/retail pharmacy in Shawnee, Kansas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Janice Arenson, 3rd Party Admin., as its authorized official.

NPPES Registry Identity

NPI1710092812
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFOUR B CORP
Location Address12010 W 63RD STShawnee, KS 66216-1867
Mailing Address5300 Speaker RdKansas City, KS 66106-1050 · (913) 573-1294 · Fax (913) 551-8580
Phone(913) 268-8150
Organization SubpartYes
Authorized OfficialJanice Arenson3rd Party Admin. · (913) 573-1294
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 27, 2016
✔ NPI 1710092812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in KS · 2-09861
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
12010 W 63RD ST, Shawnee, KS 66216
Open in Google Maps ↗

Other Names 1

Doing Business AsPrice Chopper

Other Identifiers 4

Other2027085Pk
Medicaid100455830BKS
Medicare NSC0450260016
Medicaid100455830AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 17D2182347

Price Chopper Pharmacy #39 · Shawnee, KS
Active · expires Apr 19, 2028
CLIA Number17D2182347
Laboratory TypePharmacy
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorMichael T. Halliwell
Laboratory Phone(913) 268-8150
Laboratory LocationPrice Chopper Pharmacy #3912010 W 63rd St, Shawnee, KS 66216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
143 services143 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
140 services140 patients

Other Providers at the Same Location NPPES 7

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

BRENDEN WATAMANIUK PHARMD, RPH
Pharmacist
12010 W 63RD ST
SHAWNEE, KS 66216
Johnson County (913) 268-8150
KRISTIAN L OLSEN PHARMD
Pharmacist
12010 W 63RD ST
SHAWNEE, KS 66216
Johnson County (913) 268-8150
DR. MICHAEL GEORGE BALLENGER PHARM.D.
Pharmacist
12010 W 63RD ST
SHAWNEE, KS 66216
Johnson County (913) 268-8150
MR. PAUL LOGAN ALDEGUER RPH
Pharmacist
12010 W 63RD ST
SHAWNEE, KS 66216
Johnson County (913) 268-8150
JACOB HENRY DUEHLMEYER PHARMD
Pharmacist
12010 W 63RD ST
SHAWNEE, KS 66216
Johnson County (913) 268-8150
DR. STEPHANIE E DEAN PHARM.D.
Pharmacist
12010 W 63RD ST, PRICE CHOPPER #39
SHAWNEE, KS 66216
Johnson County (913) 268-8150
ANDREA PAUTZ
Pharmacist
12010 W 63RD ST
SHAWNEE, KS 66216
Johnson County (913) 268-8150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four B Corp's NPI number?

The NPI number for Four B Corp is 1710092812. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Price Chopper.

Where is Four B Corp located?

Four B Corp is located at 12010 W 63rd St, Shawnee, KS 66216. The listed phone number is (913) 268-8150.

What is Four B Corp's specialty?

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

Does Four B Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2182347) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Four B Corp accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Four B Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Four B Corp was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.