Gripka Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-10403 Issued in KS

Legal business name

GRIPKA PHARMACY LLC

Doing business as

The Medicine Store

Practice address

15415 Pinehurst Dr
Basehor, KS 66007-8237

Phone

(913) 724-3666

Fax

(913) 724-3667

NPI assigned

Oct 9, 2008

Organization subpart

No

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

Authorized official

Name

Holly Gripka, PHARMDNPI 1487252318

Title

Pharmd/Owner

Phone

(913) 724-3666

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• The Medicine Store Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Gripka, PHARMD

  • Pharmacist
  • Basehor, KS
  • NPI 1487252318
  NPD Authorized official
• Tami Hagan, PHARMD

  • Pharmacist
  • Farmers Branch, TX
  • NPI 1356747901
  NPD
• Mary Elaine Reilly

  • Pharmacist
  • Basehor, KS
  • NPI 1558951194
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1073764973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15415 PINEHURST DR",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660078237",
            "telephone_number": "913-724-3666",
            "fax_number": "913-724-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15415 PINEHURST DR",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660078237",
            "telephone_number": "913-724-3666",
            "fax_number": "913-724-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIPKA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "GRIPKA",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PHARMD/OWNER",
        "authorized_official_telephone_number": "913-724-3666",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-10403",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200879480A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hunter Green
• Nicole Renee Green, DVM
• Erica Greve
• Michelle Grillot
• Madison Grimes
• Holly Gripka, PHARMD
• Aubrey Groter
• Adalisia Guevara
• Alex Guiles
• Kristina Beth Gunia

• Community/Retail Pharmacy in Basehor, KS
• Providers in Basehor, 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 Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.