Organization Active NPI

Thomas J Brown Jr

  • Pharmacy
  • Montezuma, KS
National Provider Identifier
1184733396
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
108493 Issued in KS
Legal business name
THOMAS J BROWN JR
Practice address
300 N Aztec
Montezuma, KS 67867-0128
Phone
(620) 846-2202
Fax
(620) 846-7130
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mr. Thomas J Brown Jr., RPH
Title
Owner
Phone
(620) 846-2202

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 203995 KS
Durable Medical Equipment & Medical Supplies 332B00000X 203995 KS
Pharmacy 333600000X 108493 KS Primary

Addresses

Primary practice location

300 N Aztec
Montezuma, KS 67867-0128

Mailing address

PO Box 128
Montezuma, KS 67867-0128
Phone (620) 846-2202

Other identifiers 1

IdentifierTypeStateIssuer
100445210AMedicaidKS

Other names 1

  • Montezuma Drug Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1184733396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "MONTEZUMA",
            "state": "KS",
            "postal_code": "678670128",
            "telephone_number": "620-846-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N AZTEC",
            "city": "MONTEZUMA",
            "state": "KS",
            "postal_code": "678670128",
            "telephone_number": "620-846-2202",
            "fax_number": "620-846-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J BROWN JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-846-2202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "203995",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "203995",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "108493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100445210A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montezuma Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montezuma, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.