SCOTT CITY PHARMACY (NPI# 1639277833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639277833 |
| Entity Type | Organization |
| Organization Name | SCOTT CITY PHARMACY |
| Practice Address |
102 Albert Avenue Scott City KS 67871 |
| Practice Telephone | 6208722146 |
| Practice Fax Number | 6208727099 |
| Mailing Telephone | 6208722146 |
| Mailing Fax Number | 6208727099 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-02-05 |
| Authorized Official Name | DR. JONATHAN WAYNE BRUNSWIG (OWNER) |
| Authorized Official Telephone | 6208722146 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12443 | KS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100432180A | 05 | |
| KS | DEA NUMBER | BS8303858 | 01 |
| Street Address |
102 ALBERT AVENUE |
| City | SCOTT CITY |
| State | KS |
| Zip Code | 67871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053444208 | Ron L Meredith | Psychologist | Scott City Clinic, 201 Albert Ave, Scott City, KS 67871 | 2007-03-14 |
| 1801823687 | Scott County Hospital Dme | Durable Medical Equipment & Medical Supplies | 310 E 3rd St, Scott City, KS 67871 | 2006-06-27 |
| 1881654309 | Melissa B Batterton | Nurse Practitioner | 201 Albert Ave, Scott City, KS 67871 | 2006-03-27 |
| 1023482072 | Timothy Vanderweide | Registered Nurse | 201 Albert Ave, Scott City, KS 67871 | 2015-11-13 |
| 1902200355 | Caley Roberts | Physician Assistant | 201 Albert Ave, Scott City, KS 67871 | 2014-10-14 |
| 1013321728 | Whitney Wallace Nichols | Family Medicine | 201 Albert Ave, Scott City, KS 67871 | 2014-06-20 |
| 1760816912 | Michael Lee Goode | Nurse Anesthetist, Certified Registered | 201 Albert Ave, Scott City, KS 67871 | 2013-08-23 |
| 1023457108 | Ryan Christopher Michels | Physician Assistant | 201 Albert Ave, Scott City, KS 67871 | 2013-06-21 |
| 1184061608 | Brett Hoffecker | Family Medicine | 201 Albert Ave, Scott City, KS 67871 | 2013-05-23 |
| 1952675704 | Megan Dirks | Registered Nurse | 201 Albert Ave, Scott City, KS 67871 | 2012-02-25 |
| Find all providers in zip 67871 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174065064 | Jonathan Wayne Brunswig | Pharmacist | 102 Albert Ave, Scott City, KS 67871-6122 | 2016-11-09 |
| 1518445329 | Ragen Lee Numrich | Pharmacist | 102 Albert Ave, Scott City, KS 67871-7102 | 2018-08-02 |
| 1669841979 | Darrell Hanschen | Pharmacist | 2220 Main St, Scott City, MO 63780-1329 | 2015-09-16 |
| 1780728444 | Amy Beth Thompson | Pharmacist | 2220 Main St, Scott City, MO 63780-1329 | 2007-02-16 |
| 1316092786 | David J Charlier | Pharmacist | 2220 Main St, Scott City, MO 63780-1329 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022794 | Lauren Tenold | Pharmacist | 8913 W 131st St, Overland Park, KS 66213-3607 | 2020-11-01 |
| 1740888700 | Shannon Poell | Pharmacist | 1500 W 10th St, Topeka, KS 66604 | 2020-10-13 |
| 1255946513 | Kelly Robertson | Pharmacist | 3901 Rainbow Blvd # Ms 4040, Kansas City, KS 66160-8500 | 2020-09-14 |
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1205447984 | Brooke Nichole Steiner | Pharmacist | 21702 W 58th St, Shawnee, KS 66218-8933 | 2020-08-14 |
| 1245840313 | Matthew Kirmse | Pharmacist | 2860 Sw Mission Woods Dr Ste A2, Topeka, KS 66614-5604 | 2020-08-04 |
| 1043829104 | Paul George Sampson | Pharmacist | 620 Birch St, Wakefield, KS 67487-9032 | 2020-07-24 |
| 1770191132 | Glenn Kruk | Pharmacist | 2205 Buckner Dr, Manhattan, KS 66503-2159 | 2020-07-21 |
| 1245858471 | Colby Robert Andreasen-cannon | Pharmacist | 1863 5300 Rd, Coffeyville, KS 67337 | 2020-07-14 |
| 1164046736 | Jeffrey Lewis | Pharmacist | 705 Arkansas St Apt B, Lawrence, KS 66044-2350 | 2020-05-29 |
| Find all providers with the same taxonomy | ||||
| City | SCOTT CITY |
| Zip Code | 67871 |
Please comment or provide details below to improve the information on SCOTT CITY PHARMACY.
| 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.