Organization Active NPI

Guyll Pharmacy Inc

  • Long Term Care Pharmacy
  • Independence, KS
National Provider Identifier
1073589032
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
7905 Issued in KS
Legal business name
GUYLL PHARMACY INC
Practice address
400 N Penn Ave
Independence, KS 67301-3012
Phone
(620) 331-0036
Fax
(620) 331-0593
NPI assigned
Feb 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Carl G Guyll, RPHNPI 1114018108
Title
President
Phone
(620) 331-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 7905 KS
Community/Retail Pharmacy 3336C0003X KS
Long Term Care Pharmacy 3336L0003X 7905 KS Primary

Addresses

Primary practice location

400 N Penn Ave
Independence, KS 67301-3012

Mailing address

400 N Penn Ave
Independence, KS 67301-3012
Phone (620) 331-0036

Other identifiers 2

IdentifierTypeStateIssuer
1714701OtherKSNCPDP #
100439760AMedicaidKS

National Provider Directory

National Provider Directory

Locations

400 N Pennsylvania Ave
Independence, KS 67301
Phone (620) 331-0036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073589032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PENN AVE",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013012",
            "telephone_number": "620-331-0036",
            "fax_number": "620-331-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PENN AVE",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013012",
            "telephone_number": "620-331-0036",
            "fax_number": "620-331-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUYLL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GUYLL",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-331-0036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "7905",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "7905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "1714701",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439760A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.