Gant Pharmacy Services Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GANT PHARMACY SERVICES INC

Practice address

805 N Kentucky Ave Ste 2
West Plains, MO 65775-2045

Phone

(417) 256-2274

Fax

(417) 256-1036

NPI assigned

Dec 12, 2017

Organization subpart

Yes

Parent organization

GANT PHARMACY SERVICES INCAs reported in NPPES

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

Authorized official

Name

Russell Gant

Title

Owner/Pic

Phone

(417) 256-2274

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Burton Creek Pharmacy Doing business as

Part of

Burton Creek Pharmacy

Locations

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1063927010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N KENTUCKY AVE STE 2",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752045",
            "telephone_number": "417-256-2274",
            "fax_number": "417-256-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N KENTUCKY AVE STE 2",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752045",
            "telephone_number": "417-256-2274",
            "fax_number": "417-256-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANT PHARMACY SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GANT PHARMACY SERVICES INC",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "GANT",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "417-256-2274"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600305510",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burton Creek Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Frisbee
• Michael Fuller
• Sara Leu Fullington, MS, CCC-SLP
• Steven Galbreath, MA
• Elycia Rosechelle Galvez
• Ruth Garner
• Marissa-Li Garrett
• Kristie L Gast, M.D.
• Kathleen Geery
• Janis Ann Gendron, RN,C

• Long Term Care Pharmacy in West Plains, MO
• Providers in West Plains, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.