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Prescription Shop Inc

Long Term Care Pharmacy in Coffeyville, KS · enumerated 2018 · authorized official Alan Defever, Pres.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629572730

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Registry record

Entity type Organization (Type 2)
Legal business name Prescription Shop Inc
Other name <Unavail>
Practice address 601 W 11th St, Coffeyville, KS, 67337
Phone (620) 251-1620
Fax (620) 251-4730
Enumeration date Mar 22, 2018
Last updated in NPPES Mar 22, 2018

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers · License 209131 (KS) Primary

Authorized official

Name Alan Defever
Title Pres
Phone (913) 515-0462

Other identifiers

Identifier Type State Issuer
100434720A Medicaid KS -
2176480 Other - PK
100434720B Medicaid KS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Prescription Shop Inc?
Prescription Shop Inc is registered in NPPES as a Long Term Care Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-22.