Prescription Shop, Inc
Community/Retail Pharmacy
601 W 11th St, Coffeyville
Kansas, 67337-5025
620-251-1620 620-251-4730
Prescription Shop, Inc is a Community/Retail Pharmacy in Coffeyville, Kansas. It is located at 601 W 11th St, Coffeyville and it's customer support contact number is 620-251-1620. The authorized person of Prescription Shop, Inc is Alan Defever, RPH who is Owner of the pharmacy and his contact number is 913-515-0462. Active license number of Prescription Shop, Inc is 209131 for Community/Retail Pharmacy in Kansas. Prescription Shop, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Prescription Shop, Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Prescription Shop, Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Prescription Shop, Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 601 W 11th St, Coffeyville,
Kansas, 67337-5025 |
| Phone: | 620-251-1620 |
| Fax: | 620-251-4730 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Alan Defever |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 913-515-0462 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1619966272 |
| NPI Enumeration Date: | 17 Oct, 2005 |
| NPI Last Update On: | 11 Apr, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prescription Shop, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 209131 | Kansas | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100434720B | Medicaid | Kansas | |
| 100434720A | Medicaid | Kansas | |
| 2030507 | Other | | Pk |
Medicare Enrollment:
Prescription Shop, Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5395771299 | O20050712000924 | Prescription Shop Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 5395771299 | O20100930088185 | Prescription Shop Inc | DME SUPPLIER - PHARMACY |
Products Available:
Prescription Shop, Inc has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Continuous Passive Motion (cpm) Devices | • Cpap, Rads, & Related Supplies & Accessories |
| • Diabetic Shoes & Inserts: Prefabricated | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Heat & Cold Applications |
| • High Frequency Chest Wall Oscillation (hfcwo) Devices | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Intermittent Positive Pressure Breathing (ippb) Devices |
| • Intrapulmonary Percussive Ventilation Devices | • Mechanical In-exsufflation Devices |
| • Nebulizer Equipment & Supplies | • Negative Pressure Wound Therapy Pumps & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Oxygen Equipment & Supplies | • Patient Lifts |
| • Pneumatic Compression Devices | • Respiratory Suction Pumps |
| • Seat Lift Mechanisms | • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads |
| • Tracheostomy Supplies | • Traction Equipment |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
| • Ventilators, Accessories & Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 601 W 11th St,
Coffeyville, Kansas |
| Zip: | 67337-5025 |
| Phone Number: | 620-251-1620 |
| Fax Number: | 620-251-4730 |
Patients can reach Prescription Shop, Inc at
601 W 11th St, Coffeyville, Kansas or can
call on customer care at 620-251-1620.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.