MINNEOLA PHARMACY INC (NPI# 1447353503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447353503 |
Entity Type | Organization |
Organization Name | MINNEOLA PHARMACY INC |
Other Organization Name | MINNEOLA PHARMACY INC |
Practice Address |
131 S Main St Minneola KS 67865 |
Mailing Address |
Po Box 460 Cimarron KS 67835-0460 |
Practice Telephone | 6208854544 |
Practice Fax Number | 6208854723 |
Mailing Telephone | 6208854544 |
Mailing Fax Number | 6208854723 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2016-06-27 |
Authorized Official Name | MICHAEL COAST (OWNER) |
Authorized Official Telephone | 6208552055 |
Authorized Official Credential | RPH CGP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2-10083 | KS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2027671 | 01 |
Other Name | Type Code |
---|---|
MINNEOLA PHARMACY INC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508324021 | Minneola Pharmacy Inc | Pharmacy | 131 S. Main St., Minneola, KS 67865-0460 | 2019-03-04 |
Street Address |
131 S MAIN ST |
City | MINNEOLA |
State | KS |
Zip Code | 67865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508253055 | Franchesca Schandevel | Family Medicine | 212 Main. St, Minneola, KS 67865 | 2015-04-22 |
1891708509 | Jan R Granados | Pharmacist | 131 S. Main St, Minneola, KS 67865 | 2006-08-14 |
1346692019 | Julie Crotts | Nurse Practitioner | 222 Main St, Minneola, KS 67865 | 2016-07-06 |
1699162149 | Nathan Schandevel | Family Medicine | 212 Main St, Minneola, KS 67865 | 2015-04-22 |
1447440318 | Minneola District Hospital | Home Health | 212 Main St, Minneola, KS 67865-0127 | 2007-07-27 |
1659468924 | Anthony D Luna | Family Medicine | 222 Main Street, Box 127, Minneola, KS 67865-0127 | 2006-10-06 |
1770816340 | Minneola Schools Usd# 219 | Clinic/Center | 111 East Locust, Minneola, KS 67865-0157 | 2009-09-14 |
1508324021 | Minneola Pharmacy Inc | Pharmacy | 131 S. Main St., Minneola, KS 67865-0460 | 2019-03-04 |
1023199908 | Minneola District Hospital | Nursing Facility/Intermediate Care Facility | 207 Chestnut Street, Minneola, KS 67865-8511 | 2006-10-18 |
1013009828 | Minneola District Hospital Nbr 2 | General Acute Care Hospital | 212 Main Street, Minneola, KS 67865-8511 | 2006-09-29 |
Find all providers in zip 67865 |
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] |
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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.