OrganizationActive
Hodgeman County Pharmacy LLC
NPI 1306304928 · Long Term Care Pharmacy · Jetmore, KS
Provider details
- NPI number
- 1306304928
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Coast, Member(620) 855-0095
Specialties & taxonomies
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
519 Main St
Jetmore, KS 67854-0068
Phone: (620) 357-8305
Fax: (620) 357-6538
Street-level locationGet directions
Mailing address
Po Box 782
Cimarron, KS 67835-0782
Other names (DBA / former)
- Doing business as
- Hodgeman County Pharmacy LLC
Registry dates
- Enumerated
- 2019-03-04
- Last updated
- 2019-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.