Organization Active NPI

Medirx Inc PA

  • Community/Retail Pharmacy
  • Salina, KS
National Provider Identifier
1174565014
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-08757 Issued in KS
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

Updated by the provider on Apr 25, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100442570BMedicaidKS

Other names 1

  • dba Gibson Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.