Active NPI
Gosney Pharmacy Inc
- Community/Retail Pharmacy
- Hannibal, MO
National Provider Identifier
1205189040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6017
- Legal business name
- GOSNEY PHARMACY INC
- Practice address
- 2900 Saint Marys Ave
Hannibal, MO 63401-3715 - Phone
- (573) 248-8322
- NPI assigned
- Oct 17, 2012
- Last updated
- Oct 17, 2012
- 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. David Brian Gsoney
- Title
- R.PH.
- Phone
- (573) 248-8322
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 6017 | MO | Primary |
| Long Term Care Pharmacy | 3336L0003X | 6017 | MO |
Addresses
Primary practice location
2900 Saint Marys Ave
Hannibal, MO 63401-3715
Mailing address
2900 Saint Marys Ave
Hannibal, MO 63401-3715
Phone (573) 248-8322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608272902 | Medicaid | MO |
Other names 1
- Gosney Pharmacy LTC
National Provider Directory
National Provider Directory- Tax ID family
- Gosney Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2900 Saint Marys Ave
Hannibal, MO 63401
Phone (573) 248-8322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350432000000",
"number": "1205189040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SAINT MARYS AVE",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634013715",
"telephone_number": "573-248-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 SAINT MARYS AVE",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634013715",
"telephone_number": "573-248-8322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOSNEY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A",
"authorized_official_last_name": "GSONEY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "R.PH.",
"authorized_official_telephone_number": "573-248-8322",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "6017",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MO",
"license": "6017",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "608272902",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gosney Pharmacy LTC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.