Organization Active NPI

Harry Everett Corp

  • Compounding Pharmacy
  • Mission, KS
National Provider Identifier
1013006790
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
2-10030 Issued in KS
Legal business name
HARRY EVERETT CORP
Practice address
5453 W 61St PL
Mission, KS 66205-3002
Phone
(913) 322-0001
Fax
(913) 322-0002
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa Gae Everett Andersen, RPH, CCN
Title
Owner
Phone
(913) 322-0001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 2-10030 KS Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

5453 W 61St PL
Mission, KS 66205-3002

Mailing address

5453 W 61St PL
Mission, KS 66205-3002
Phone (913) 322-0001

Other identifiers 1

IdentifierTypeStateIssuer
2027796OtherPK

Other names 1

  • OBRIEN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1013006790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 W 61ST PL",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662053002",
            "telephone_number": "913-322-0001",
            "fax_number": "913-322-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 W 61ST PL",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662053002",
            "telephone_number": "913-322-0001",
            "fax_number": "913-322-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY EVERETT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "EVERETT ANDERSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "GAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-322-0001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH, CCN"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "KS",
            "license": "2-10030",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2027796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBRIEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OBRIEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.