Provider Demographics
NPI:1740392091
Name:KEVIN M. RYCHECK
Entity Type:Organization
Organization Name:KEVIN M. RYCHECK
Other - Org Name:RYCHECK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RYCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-448-6650
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:GARNETT
Mailing Address - State:KS
Mailing Address - Zip Code:66032-0366
Mailing Address - Country:US
Mailing Address - Phone:785-448-6650
Mailing Address - Fax:785-448-6686
Practice Address - Street 1:427 S OAK ST
Practice Address - Street 2:
Practice Address - City:GARNETT
Practice Address - State:KS
Practice Address - Zip Code:66032-1337
Practice Address - Country:US
Practice Address - Phone:785-448-6650
Practice Address - Fax:785-448-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
KS2101343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2026865OtherPK
KS100444250AMedicaid
KS100444260AMedicaid
2026865OtherPK