Medical Center Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

209792 Issued in KS

Legal business name

MEDICAL CENTER PHARMACY INC.

Doing business as

Moundridge Pharmacy

Practice address

200 E. Pack
Moundridge, KS 67107

Phone

(620) 345-8650

Fax

(620) 345-6312

NPI assigned

Aug 2, 2006

Last updated

Nov 19, 2008By 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

Mr. Alan Keith Schooler, RPH

Title

Secretary

Phone

(620) 345-8650

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Moundridge Pharmacy Doing business as

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1073520748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 318",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671070318",
            "telephone_number": "620-345-8650",
            "fax_number": "620-345-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E. PACK",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "67107",
            "telephone_number": "620-345-8650",
            "fax_number": "620-345-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "SCHOOLER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "620-345-8650",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "209792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100437680A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1714826",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moundridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Moundridge, KS
• Providers in Moundridge, 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 Nov 19, 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.