Active NPI
Medirx Inc PA
- Community/Retail Pharmacy
- Salina, KS
National Provider Identifier
1174565014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-08757
- Legal business name
- MEDIRX INC PA
- Practice address
- 321 S Broadway Blvd
Salina, KS 67401-3803 - Phone
- (782) 825-0524
- Fax
- (785) 825-6540
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Danny H Daley, R.PH.
- Title
- President
- Phone
- (785) 825-0524
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2-08757 | KS | Primary |
Addresses
Primary practice location
321 S Broadway Blvd
Salina, KS 67401-3803
Mailing address
321 S Broadway Blvd
Salina, KS 67401-3803
Phone (782) 825-0524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100442570B | Medicaid | KS |
Other names 1
- dba Gibson Pharmacy
National Provider Directory
National Provider DirectoryLocations
321 S Broadway Blvd
Salina, KS 67401
Phone (782) 825-0524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335312000000",
"number": "1174565014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 S BROADWAY BLVD",
"city": "SALINA",
"state": "KS",
"postal_code": "674013803",
"telephone_number": "782-825-0524",
"fax_number": "785-825-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 S BROADWAY BLVD",
"city": "SALINA",
"state": "KS",
"postal_code": "674013803",
"telephone_number": "782-825-0524",
"fax_number": "785-825-6540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIRX INC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2012-04-25",
"status": "A",
"authorized_official_last_name": "DALEY",
"authorized_official_first_name": "DANNY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "785-825-0524",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "2-08757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100442570B",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Gibson Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.