Jane Phillips Memorial Medical Center, Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

2-13218 Issued in KS

Legal business name

JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC

Doing business as

Jane Phillips MedCare Pharmacy - Independence

Practice address

800 W Laurel St
Independence, KS 67301-3211

Phone

(620) 330-8282

Fax

(620) 330-8284

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan Claire Rogers

Title

Pharmacy Manager

Phone

(620) 330-8282

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jane Phillips MedCare Pharmacy - Independence Doing business as

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1225177140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W LAUREL ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013211",
            "telephone_number": "620-330-8282",
            "fax_number": "620-330-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W LAUREL ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013211",
            "telephone_number": "620-330-8282",
            "fax_number": "620-330-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "620-330-8282",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "KS",
            "license": "2-13218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099630F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jane Phillips MedCare Pharmacy - Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Independence Pharmacy
• Marie Elaine Ingram, LSCSW
• Lori Diane Isle, MSN, FNP, APRN-C
• Abdi Issack, PHARMD
• Rachel Ann Jamison
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• Matthew Thomas Johns
• Johnson Chiropractic Inc
• Amanda Jo Johnson, D.C.
• Jeremiah B Johnson, D.C.

• Clinic Pharmacy in Independence, KS
• Providers in Independence, KS by specialty
• Clinic Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.