Provider Demographics
NPI:1669432456
Name:PHARMACEUTICAL ASSOCIATES II
Entity type:Organization
Organization Name:PHARMACEUTICAL ASSOCIATES II
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAMMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-548-5616
Mailing Address - Street 1:302 EDWARD ST
Mailing Address - Street 2:ATTN: JULIE HAMMES
Mailing Address - City:SENECA
Mailing Address - State:KS
Mailing Address - Zip Code:66538-1829
Mailing Address - Country:US
Mailing Address - Phone:785-548-5616
Mailing Address - Fax:785-284-3040
Practice Address - Street 1:934 MAIN ST
Practice Address - Street 2:
Practice Address - City:SABETHA
Practice Address - State:KS
Practice Address - Zip Code:66534-1829
Practice Address - Country:US
Practice Address - Phone:785-284-3414
Practice Address - Fax:785-284-3040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X, 3336L0003X
KS2-06723333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30003922500001Medicaid
KS30003922500002Medicaid
KS100441940AMedicaid