Palace Drug Store Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

206543 Issued in KS

Legal business name

PALACE DRUG STORE INC

Practice address

460 N Franklin Ave
Colby, KS 67701-2326

Phone

(785) 460-7507

Fax

(785) 460-2522

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Randall Duane Smith, RPH.

Title

Pharmacist/Owner

Phone

(785) 460-7507

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1083614697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N FRANKLIN AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677012326",
            "telephone_number": "785-460-7507",
            "fax_number": "785-460-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N FRANKLIN AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677012326",
            "telephone_number": "785-460-7507",
            "fax_number": "785-460-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "785-460-7507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "206543",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-06543",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "2-06543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100437940B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc.
• Northwest Kansas Chiropractic, P.a.
• Northwest Kansas Hearing Services, Inc
• NWK Chiropractic, LLC
• Kathryn Ostmeyer, LMSW
• Palace Drug Store of Colby LLC
• Kristin Parker, D.C.
• John F Patterson, CRNA
• Elaine Valetta Ptacek, LCPC
• Anne Ruble Recker, MD

• Pharmacy in Colby, KS
• Providers in Colby, KS by specialty
• Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.