Organization Active NPI

Seventh St Pharmacy Inc

  • Long Term Care Pharmacy
  • Erie, KS
National Provider Identifier
1104905876
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2-10250 Issued in KS
Legal business name
SEVENTH ST PHARMACY INC
Doing business as
Seventh St Pharmacy Inc
Practice address
511 N Main St Ste B
Erie, KS 66733-1017
Phone
(620) 244-3333
Fax
(620) 244-3334
NPI assigned
Nov 3, 2006
Last updated
May 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Barbara Smith, RPH
Title
President
Phone
(620) 244-3333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 2-10250 KS Primary

Addresses

Primary practice location

511 N Main St Ste B
Erie, KS 66733-1017

Mailing address

PO Box 9830
Salt Lake City, UT 84109-9830
Phone (620) 244-3333

Other identifiers 2

IdentifierTypeStateIssuer
2030731OtherPK
100445110AMedicaidKS

Other names 1

  • SEVENTH ST PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

511 N Main St
Ste B
Erie, KS 66733
Phone (620) 244-3333

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1104905876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "620-244-3333",
            "fax_number": "620-244-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N MAIN ST STE B",
            "city": "ERIE",
            "state": "KS",
            "postal_code": "667331017",
            "telephone_number": "620-244-3333",
            "fax_number": "620-244-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVENTH ST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-244-3333",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "2-10250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030731",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100445110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEVENTH ST PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.