Jeffrey L Menzie

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

206795 Issued in KS

Legal business name

JEFFREY L MENZIE

Doing business as

Grant County Drug

Practice address

219 N Main St
Ulysses, KS 67880-2130

Phone

(620) 356-1446

Fax

(620) 356-5381

NPI assigned

Dec 12, 2006

Last updated

Aug 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Menzie, RPH

Title

Owner

Phone

(620) 356-1446

Specialties & licenses 2

Addresses

Other names 1

• GRANT COUNTY DRUG Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1063573178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678800925",
            "telephone_number": "620-356-1446",
            "fax_number": "620-356-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N MAIN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802130",
            "telephone_number": "620-356-1446",
            "fax_number": "620-356-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L MENZIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "MENZIE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-356-1446",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "206795",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANT COUNTY DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Ulysses, KS
• Providers in Ulysses, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.