OrganizationActiveAccepts Medicare
Medical Park Pharmacy of Great Bend PA
NPI 1861564437 · Community/Retail Pharmacy · Great Bend, KS
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1861564437
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Regier, Rph President(620) 792-1221
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1309 Polk
Great Bend, KS 67530-3644
Phone: (620) 792-1221
Fax: (620) 792-6413
Street-level locationGet directions
Mailing address
1309 Polk
Great Bend, KS 67530-3644
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.