Active NPI
Gibson McWhirt Corp
Doing business as Plaza Pharmacy
- Pharmacist
- Sedalia, MO
National Provider Identifier
1053479758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028824
- Legal business name
- GIBSON MCWHIRT CORP
- Doing business as
- Plaza Pharmacy
- Practice address
- 700 S Limit Ave
Sedalia, MO 65301-3900 - Phone
- (660) 826-2431
- Fax
- (660) 826-2713
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 16, 2008
- Organization subpart
- Yes
- Parent organization
- GIBSON MCWHIRT CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Knorp, R.PH.
- Title
- Pharmacist
- Phone
- (660) 826-2431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 028824 | MO | Primary |
Addresses
Primary practice location
700 S Limit Ave
Sedalia, MO 65301-3900
Mailing address
700 S Limit Ave
Sedalia, MO 65301-3900
Phone (660) 826-2431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600203400 | Medicaid | MO |
Other names 1
- Plaza Pharmacy
National Provider Directory
National Provider Directory- Part of
- Gibson McWhirt Corp
Locations
700 S Limit Ave
Sedalia, MO 65301
Phone (660) 826-7300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1053479758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S LIMIT AVE",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653013900",
"telephone_number": "660-826-2431",
"fax_number": "660-826-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S LIMIT AVE",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653013900",
"telephone_number": "660-826-2431",
"fax_number": "660-826-2713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBSON MCWHIRT CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GIBSON MCWHIRT CORP",
"enumeration_date": "2006-12-05",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "KNORP",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "660-826-2431",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MO",
"license": "028824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600203400",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Plaza Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.