K and D Pharmacy LLC

Key facts

NPI

1043470396

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

2-10187 (KS)

Legal business name

K AND D PHARMACY LLC

Practice address

224 S Summit St
Arkansas City, KS 67005-2847

Phone

(620) 307-6264

Fax

(620) 307-6416

NPI assigned

Jun 11, 2008

Organization subpart

No

Authorized official

Name

Daren Reese

Title

Phcy Owner

Phone

(620) 660-2497

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• K AND D PHARMACY LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2018.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1043470396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SOUTH SUMMIT",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "67005",
            "telephone_number": "620-307-6264",
            "fax_number": "620-307-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S SUMMIT ST",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670052847",
            "telephone_number": "620-307-6264",
            "fax_number": "620-307-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND D PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "DAREN",
        "authorized_official_title_or_position": "PHCY OWNER",
        "authorized_official_telephone_number": "620-660-2497"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-10187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2027878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K AND D PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Arkansas City, KS · Community/Retail Pharmacy in Kansas