DEGOLER INC. (NPI# 1710086731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710086731 |
| Entity Type | Organization |
| Organization Name | DEGOLER INC. |
| Other Organization Name | DEGOLER PHARMACY |
| Practice Address |
21 N 12th St Kansas City KS 66102-5161 |
| Practice Telephone | 9133424077 |
| Practice Fax Number | 9133712802 |
| Mailing Telephone | 9133424077 |
| Mailing Fax Number | 9133712802 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GLENN C. HARTE (PRESIDENT) |
| Authorized Official Telephone | 9133424077 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2-09507 | KS | Suppliers |
| Other Name | Type Code |
|---|---|
| DeGoler Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790872075 | Degoler Inc. | Pharmacy | 5701 State Ave, Kansas City, KS 66102-1236 | 2006-10-06 |
| 1942309976 | Degoler Inc. | Pharmacy | 8101 Parallel Pkwy, Kansas City, KS 66112-2010 | 2006-09-22 |
| 1003916032 | Degoler Inc. | Pharmacy | 2040 Hutton Rd, Kansas City, KS 66109-4564 | 2006-09-22 |
| Street Address |
21 N 12TH ST |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66102-5161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723619 | Allison H Anderson | Pediatrics | 21 N 12th St, Suite 300, Kansas City, KS 66102-5161 | 2005-07-08 |
| 1356855621 | Douglas Zimmerman | Pharmacist | 21 N 12th St, Kansas City, KS 66102-5161 | 2017-11-25 |
| 1881135200 | Jhessika A Jordan-mena | Social Worker | 21 N 12th St, Kansas City, KS 66102-5161 | 2017-03-17 |
| 1538519822 | Anthony Todd Jimenez | Dentist | 21 N 12th St, #300, Kansas City, KS 66102-5161 | 2016-06-16 |
| 1609221225 | Transitions Consulting and Education Services of Johnson County | Social Worker | 21 N 12th St, Kansas City, KS 66102-5161 | 2016-05-02 |
| 1194196733 | Elizabeth Neubauer | Physician Assistant | 21 N 12th St, Kansas City, KS 66102-5161 | 2015-10-08 |
| 1760860324 | Heeseong Lee Ha | Counselor | 21 N 12th St, Kansas City, KS 66102-5161 | 2015-05-14 |
| 1912331794 | Carol R Washington | Counselor | 21 N 12th St, Suite 470, Kansas City, KS 66102-5161 | 2013-08-28 |
| 1306181367 | Wyandotte Family Eyecare Center, LLC | Optometrist | 21 N 12th St, Kansas City, KS 66102-5161 | 2012-12-03 |
| 1154672533 | Smithville Eye Center LLC | Clinic/Center | 21 N 12th St, Kansas City, KS 66102-5161 | 2012-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221303 | Thrive Restorative Services | Social Worker | 1911 North 62nd Street, Kansas City, KS 66102 | 2020-09-30 |
| 1962904680 | Robyn Smith | Nurse's Aide | 1711 N 58th Street, Kansas City, KS 66102 | 2018-03-08 |
| 1427564756 | Kimberly Lartey Hardeman | Midwife, Lay | 4705 Nebraska Avenue, Kansas City, KS 66102 | 2017-12-22 |
| 1396116117 | 47th Street Dental Center, LLC | Dentist | 4301 State Ave Bldg A, Kansas City, KS 66102 | 2015-10-20 |
| 1336550763 | Carlie Thomas | Case Manager/Care Coordinator | 417 North 17th Street, Kansas City, KS 66102 | 2014-05-20 |
| 1053619932 | Karla Christine Wright | Speech-Language Pathologist | 4911 State Ave/, Kansas City, KS 66102 | 2011-03-02 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1255513040 | Maureen Liddiard | Social Worker | 1223 Meadowlark Lane, Kansas City, KS 66102 | 2007-12-04 |
| 1841499175 | Lori Ann Erwin | Counselor | 1333 Meadowlark Lane, Suite 205 Tfi Family Services Behavioral Health, Kansas City, KS 66102 | 2007-07-17 |
| 1669679023 | Lynn Alan Barrett | Marriage & Family Therapist | 1301 N. 47th, Kansas City, KS 66102 | 2007-06-29 |
| Find all providers in zip 66102 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1588224315 | Gail Reif Inc. | Pharmacy | 2040 Hutton Rd Ste 101, Kansas City, KS 66109-4566 | 2019-06-14 |
| 1821563495 | Imans Pharmacy Inc. | Pharmacy | 2360 E 12th St Ste B, Kansas City, MO 64127-1207 | 2018-10-09 |
| 1316438658 | Brink Healthmeds | Pharmacy | 1620 East 63rd Street, Kansas City, MO 64110 | 2018-05-22 |
| 1891205829 | Humana Pharmacy Inc | Pharmacy | 301 E Armour Blvd Ste 2, Kansas City, MO 64111-1245 | 2017-10-04 |
| 1700395878 | University of Kansas Hospital Cambridge Retail Pharmacy | Pharmacy | 3825 Cambridge Street, Suite Ca 1333, Kansas City, KS 66103 | 2017-09-21 |
| 1336514140 | Riverside Pharmacy Associates, LLC | Pharmacy | 1142 Merriam Ln, Kansas City, KS 66103-1652 | 2015-12-04 |
| 1497125470 | Prescription Management Associates | Pharmacy | 4300 Brenner Dr Ste 200, Kansas City, KS 66104-1163 | 2015-10-02 |
| 1699190744 | Schneider Pharmacy LLC | Pharmacy | 9411 N Oak Trfy Ste 120, Kansas City, MO 64155-2262 | 2014-02-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66102 |
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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.