GRAY DRUG & FOUNTAIN INC (NPI# 1255774055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255774055 |
| Entity Type | Organization |
| Organization Name | GRAY DRUG & FOUNTAIN INC |
| Other Organization Name | GRAY DRUG & FOUNTAIN |
| Practice Address |
100 S Mill St Beloit KS 67420-3237 |
| Practice Telephone | 7855341200 |
| Practice Fax Number | 7855341202 |
| Mailing Telephone | 7855341200 |
| Mailing Fax Number | 7855341202 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | PATRICK GRAY (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 7855341200 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2-10445 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2140045 | 01 | |
| KS | 201072760B | 05 | |
| KS | 201072760A | 05 |
| Other Name | Type Code |
|---|---|
| Gray Drug & Fountain | Doing Business As Name - Organization |
| Street Address |
100 S MILL ST |
| City | BELOIT |
| State | KS |
| Zip Code | 67420-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952587123 | Deidra Kay Burks | Occupational Therapist | 815 N Independence, Beloit, KS 67420 | 2008-01-17 |
| 1861675514 | Kimberlee Joy Budke | Occupational Therapist | 815 North Independence, Beloit, KS 67420 | 2007-12-17 |
| 1902092000 | Mod Solution LLC | Occupational Therapist | 605 North Hersey, Beloit, KS 67420 | 2007-09-21 |
| 1164554408 | Cathleen Joyce Kelly | Occupational Therapist | 120 N Lincoln Ave, Beloit, KS 67420 | 2007-03-12 |
| 1215066360 | Mitchell County Hospital Health Systems | Custodial Care Facility | 400 West 8th St, Beloit, KS 67420 | 2007-03-05 |
| 1982777421 | Jerome M Carrico | Family Medicine | 120 N Mill, Beloit, KS 67420 | 2006-11-15 |
| 1700972882 | Robert A. Miller | Nurse Anesthetist, Certified Registered | 400 W 8th, Beloit, KS 67420 | 2006-10-05 |
| 1629007877 | Mark W Rothfuss | Counselor | 207 N Mill St Ste 5, Beloit, KS 67420 | 2006-07-01 |
| 1023086998 | County of Mitchell | Ambulance | 1906 Highway 14, Beloit, KS 67420 | 2006-03-08 |
| 1811288160 | Mark Edward Banker | Surgery | 400 West 8th Street, Beloit, KS 67420 | 2011-04-20 |
| Find all providers in zip 67420 | ||||
| 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 |
|---|---|---|---|---|
| 1578597795 | Aurora Pharmacy Inc | Pharmacy | 551 W Grand Ave, Beloit, WI 53511-5369 | 2006-07-11 |
| 1255373445 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 1063 4th St, Beloit, WI 53511-4413 | 2006-06-12 |
| 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 | ||||
Please comment or provide details below to improve the information on GRAY DRUG & FOUNTAIN INC.
| 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.