Four B Corp
NPI 1174638274ActiveOrganization· Pharmacy· Lees Summit, MO
Pharmacy in Lees Summit, Missouri, registered in NPPES in August 2006, part of Four B Corp. The authorized official on file is Janice Humphreys, Third Party Admin. Medicare paid $37,902 for services to 150 patients in 2024.
Overview
| NPI | 1174638274 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Four B Corp |
| NPI issued | Aug 20, 2006 |
| Last updated in NPPES | Aug 20, 2026 |
| Certified by provider | Aug 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 6045 | MO |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 150 |
|---|---|
| Services billed | 496 across 9 procedure codes |
| Paid by Medicare | $37,902 |
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