Organization Active NPI

Gibson McWhirt Corp

Doing business as Plaza Pharmacy

  • Pharmacist
  • Sedalia, MO
National Provider Identifier
1053479758
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
028824 Issued in MO
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
GIBSON MCWHIRT CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
600203400MedicaidMO

Other names 1

  • Plaza Pharmacy Doing business as

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.

Verify at the official NPI Registry.