Active NPI
Thomas J Brown Jr
- Pharmacy
- Montezuma, KS
National Provider Identifier
1184733396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 108493
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100445210A | Medicaid | KS |
Other names 1
- Montezuma Drug
National Provider Directory
National Provider DirectoryNPI 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.