Provider Demographics
NPI:1043320310
Name:MEISTER, INC.
Entity type:Organization
Organization Name:MEISTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:316-794-2217
Mailing Address - Street 1:19846 W KELLOGG DR
Mailing Address - Street 2:P.O. BOX 450
Mailing Address - City:GODDARD
Mailing Address - State:KS
Mailing Address - Zip Code:67052-9206
Mailing Address - Country:US
Mailing Address - Phone:316-794-2217
Mailing Address - Fax:316-794-2899
Practice Address - Street 1:19846 W KELLOGG DR
Practice Address - Street 2:
Practice Address - City:GODDARD
Practice Address - State:KS
Practice Address - Zip Code:67052-9206
Practice Address - Country:US
Practice Address - Phone:316-794-2217
Practice Address - Fax:316-794-2899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2-070723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1712579OtherNCPDP
KS1712579OtherNCPDP