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Export Provider Record NPI 1053423905
Wolkar Drug Inc
Organization Subpart: NO
Active
NPI Number1053423905
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1053423905
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-08-31
Last Updated2021-12-13
Authorized OfficialBrian Caswell
PRESIDENT PHARMACIST IN CHARGE
Phone: 6208565555
Mailing Address1920 Military Ave
Baxter Springs, KS 66713-2039
United States
Phone: (620) 856-5555 | Fax: (620) 856-3455
📍 View Map
Primary Practice Address1920 Military Ave
Baxter Springs, KS 66713-2039
United States
Phone: (620) 856-5555 | Fax: (620) 856-3455
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOK100231810A
MEDICAIDKS100436830A
MEDICAIDMO1053423905
Other (non-Medicare)2030496PK
MEDICAIDMO600904403
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy
No3336L0003X – Pharmacy, Long Term Care Pharmacy
Yes3336C0003X – Pharmacy, Community/Retail PharmacyKS2-13206
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About NPI 1053423905

Wolkar Drug Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053423905. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Baxter Springs, KS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053423905?

NPI 1053423905 belongs to Wolkar Drug Inc, a Pharmacy, Community/Retail Pharmacy in Baxter Springs, KS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053423905 active?

The current status of NPI 1053423905 in the NPPES registry is Active. The record was last updated on 2021-12-13.

What specialty is NPI 1053423905?

NPI 1053423905 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053423905?

You can verify NPI 1053423905 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053423905?

The primary practice address on file for NPI 1053423905 is 1920 Military Ave, Baxter Springs, KS 66713-2039. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053423905 issued?

NPI 1053423905 was first issued (enumerated) on 2006-08-31. The NPPES record was last updated on 2021-12-13.

Practice Location Map

Wolkar Drug Inc is located at 1920 Military Ave, Baxter Springs, KS. Use the map below to find directions or verify the practice location.

📍 1920 Military Ave, Baxter Springs, KS 66713-2039  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Wolkar Drug Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053423905. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy2-13206KS
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162