Grahams Southside Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

004160 Issued in MO

Legal business name

GRAHAMS SOUTHSIDE DRUGS INC

Practice address

103 E Mechanic St
Harrisonville, MO 64701-2461

Phone

(816) 380-3321

NPI assigned

Mar 13, 2009

Organization subpart

No

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

Authorized official

Name

Scott B Hartwig

Title

Co-President/Ceo

Phone

(660) 886-5535

Specialties & licenses 1

Addresses

Tax ID family

Grahams South Side Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grahams South Side Drugs

  • Durable Medical Equipment & Medical Supplies
  • Harrisonville, MO
  • NPI 1700928249
  NPD tax ID

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1033350434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MECHANIC ST",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MECHANIC ST",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012461",
            "telephone_number": "816-380-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAMS SOUTHSIDE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "HARTWIG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-PRESIDENT/CEO",
        "authorized_official_telephone_number": "660-886-5535"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "004160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gonzalez
• Diane E Gorman, M.A. IN SPEECH LANG
• Carol Elizabeth Goss, LMT
• Graham Therapy & Consulting LLC
• Grahams South Side Drugs
• Grand River Residential Services LLC
• Erica Hope Green, MA, CSW
• Mary Greife
• Laura Marie Grier, APRN
• Megan Elizabeth Griffin, CFY-SLP

• Community/Retail Pharmacy in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.