Provider Demographics
NPI:1164539714
Name:RIGGS DRUGS INC
Entity Type:Organization
Organization Name:RIGGS DRUGS INC
Other - Org Name:RIGGS DRUGS STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHRMD
Authorized Official - Phone:620-236-7272
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:CHETOPA
Mailing Address - State:KS
Mailing Address - Zip Code:67336-0308
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:308 MAPLE ST
Practice Address - Street 2:
Practice Address - City:CHETOPA
Practice Address - State:KS
Practice Address - Zip Code:67336
Practice Address - Country:US
Practice Address - Phone:620-236-7272
Practice Address - Fax:620-236-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0003X, 3336C0004X, 3336L0003X
KS210322332B00000X, 3336C0004X, 3336L0003X
KS2-103223336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KA2290OtherMEDICARE IMMUNIZATION BILLING ID
2030653OtherPK
OK100246890AMedicaid
4441170001OtherDME MEDICARE PTAN
KS100444890AMedicaid