Goodland Medical Arts Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-09423 Issued in KS

Legal business name

GOODLAND MEDICAL ARTS PHARMACY LLC

Doing business as

Goodland Medical Arts Pharmacy

Practice address

202 Willow Rd
Goodland, KS 67735-1520

Phone

(785) 890-5111

Fax

(785) 890-5111

NPI assigned

Jul 30, 2006

Last updated

Sep 13, 2016By 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

Cesar Miller

Title

Pharmacy Manager

Phone

(785) 890-5111

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• GOODLAND MEDICAL ARTS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1083629695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WILLOW RD",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351520",
            "telephone_number": "785-890-5111",
            "fax_number": "785-890-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WILLOW RD",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351520",
            "telephone_number": "785-890-5111",
            "fax_number": "785-890-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLAND MEDICAL ARTS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "785-890-5111"
    },
    "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": "2-09423",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100443540A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOODLAND MEDICAL ARTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Goodland, KS
• Providers in Goodland, 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 Sep 13, 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.