MEDICAL PHARMACY PA (NPI# 1104873769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104873769 |
| Entity Type | Organization |
| Organization Name | MEDICAL PHARMACY PA |
| Other Organization Name | MEDICAL PHARMACY PA |
| Practice Address |
1100 Columbine Dr Holton KS 66436-8841 |
| Mailing Address |
Po Box 9830 Salt Lake City UT 84109-9830 |
| Practice Telephone | 7853642114 |
| Practice Fax Number | 7853644501 |
| Mailing Telephone | 8775404748 |
| Mailing Fax Number | 8017164824 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2016-06-29 |
| Authorized Official Name | JOSEPH GILLILAND (OWNER) |
| Authorized Official Telephone | 7853642114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2-10232 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2120416 | 01 | |
| KS | 200603920A | 05 |
| Other Name | Type Code |
|---|---|
| MEDICAL PHARMACY PA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679673982 | Medical Pharmacy Pa | Durable Medical Equipment & Medical Supplies | 1100 Columbine Dr, Suite A, Holton, KS 66436-8824 | 2006-09-25 |
| Street Address |
1100 COLUMBINE DR |
| City | HOLTON |
| State | KS |
| Zip Code | 66436-8841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558337287 | Clint M Colberg | Family Medicine | 1100 Columbine Dr, Holton, KS 66436-8841 | 2006-02-23 |
| 1790207207 | Kaylie D'ann Zimmerman | Nurse Practitioner | 1100 Columbine Dr, Holton, KS 66436-8841 | 2017-07-17 |
| 1629461777 | Glacial Hills Chiropractic LLC | Chiropractor | 1100 Columbine Dr, Suite E, Holton, KS 66436-8841 | 2015-03-13 |
| 1033501572 | Glacial Hills Chiropractic | Chiropractor | 1100 Columbine Dr, Suite E, Holton, KS 66436-8841 | 2015-02-20 |
| 1316384332 | Dallas W Dooley | Registered Nurse | 1100 Columbine Dr, Holton, KS 66436 | 2013-05-31 |
| 1659718963 | Samantha Cruz Rieschick | Dentist | 1100 Columbine Dr, Holton, KS 66436-8841 | 2013-05-28 |
| 1720398241 | Holton Dental Inc. | Dentist | 1100 Columbine Dr, Holton, KS 66436-8841 | 2010-10-18 |
| 1831391978 | Alex C Gilliland | Dentist | 1100 Columbine Dr, Holton, KS 66436-8824 | 2007-06-01 |
| 1679673982 | Medical Pharmacy Pa | Durable Medical Equipment & Medical Supplies | 1100 Columbine Dr, Suite A, Holton, KS 66436-8824 | 2006-09-25 |
| 1346280872 | Malia Sm Warner | Family Medicine | 1100 Columbine Dr, Holton, KS 66436-8841 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528180734 | William E. Kinkade IIi | Physician Assistant | 1100 Columbine Drive, Holton, KS 66436 | 2007-04-06 |
| 1669573424 | Jerry E Young | Dentist | 208 West 4th Street, Holton, KS 66436 | 2006-09-26 |
| 1710943634 | Ladona Marie Schmidt | Family Medicine | 1110 Columbine Drive, Holton, KS 66436 | 2006-04-21 |
| 1669917688 | Deanna Lynn Goff | Nurse Practitioner | 1110 Columbine Drive, Holton, KS 66436 | 2016-12-29 |
| 1114362050 | Erin R. Locke | Family Medicine | 1100 Columbine Drive, Tacoma Family Medicine, Holton, KS 66436 | 2013-05-06 |
| 1336487412 | Jill S Collins | Nurse Practitioner | 1110 Columbine Drive, Holton, KS 66436 | 2013-01-23 |
| 1578664330 | Jerry E. Young, D.d.s., P.a. | Dentist | 208 West 4th Street, Holton, KS 66436 | 2006-09-26 |
| 1164442687 | Holton Usd 336 Holton Special Education Cooperative | Local Education Agency (LEA) | 515 Pennsylvania Ave, Holton, KS 66436 | 2006-07-20 |
| 1619947744 | Jana D Kramer | Family Medicine | 1603 W 4th St, Holton, KS 66436 | 2006-01-23 |
| 1962923938 | Ryan Smalley | Psychologist | 713 Idaho Ave, Holton, KS 66436-1103 | 2017-06-29 |
| Find all providers in zip 66436 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807120 | Optumrx, Inc. | Pharmacy | 6800 W 115th Street, Suite 600, Overland Park, KS 66211-9838 | 2020-09-30 |
| 1174132161 | Ascension Via Christi Hospitals Wichita Inc. | Pharmacy | 3600 E Harry St Rm 2001, Wichita, KS 67218-3713 | 2020-07-27 |
| 1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
| 1174143309 | Central Care, Pa | Pharmacy | 8919 Parallel Pkwy Ste 250, Kansas City, KS 66112-1655 | 2020-04-17 |
| 1942829916 | Sharon Lee Family Health Care, Inc | Pharmacy | 2002 S 51st St, Kansas City, KS 66106-2419 | 2020-04-10 |
| 1629617188 | Leekers Valley Center Inc | Pharmacy | 225 S Meridian, Valley Center, KS 67147 | 2020-01-02 |
| 1811536683 | Active Lifestyle Pharmacy LLC | Pharmacy | 7800 Foster St, Overland Park, KS 66204-2955 | 2019-12-27 |
| 1427694611 | Free State Pharmacy LLC | Pharmacy | 3200 Haskell Ave Ste 140, Lawrence, KS 66046-8945 | 2019-11-21 |
| 1588224315 | Gail Reif Inc. | Pharmacy | 2040 Hutton Rd Ste 101, Kansas City, KS 66109-4566 | 2019-06-14 |
| 1356807044 | Dandurand Wellness, Inc. | Pharmacy | 550 N Hillside St Ste 3-100, Wichita, KS 67214-4910 | 2019-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.