Pharmacy Innovations LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACY INNOVATIONS LLC

Doing business as

Creative Health Pharmacy of Sedan

Practice address

129 E Main St
Sedan, KS 67361-1626

Phone

(620) 725-3262

Fax

(620) 725-3110

NPI assigned

Jan 15, 2024

Last updated

Jan 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gavin Duley, PHARMD

Title

Managing Member

Phone

(620) 725-3262

Specialties & licenses 1

Addresses

Other names 1

• Creative Health Pharmacy of Sedan Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Tax ID family

Pharmacy Innovations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pharmacy Innovations LLC

  dba Creative Health Pharmacy of Cedar Vale

  • Community/Retail Pharmacy
  • Cedar Vale, KS
  • NPI 1265293500
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pharmacy Innovations LLC

  dba Creative Health Pharmacy of Cedar Vale

  • Community/Retail Pharmacy
  • Cedar Vale, KS
  • NPI 1265293500
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Briana B Young, PHARMD

  • Pharmacist
  • Sedan, KS
  • NPI 1790528958
  NPD
• James E Campbell, PHARMD

  • Pharmacist
  • Sedan, KS
  • NPI 1831572551
  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1265203541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E MAIN ST",
            "city": "SEDAN",
            "state": "KS",
            "postal_code": "673611626",
            "telephone_number": "620-725-3262",
            "fax_number": "620-725-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E MAIN ST",
            "city": "SEDAN",
            "state": "KS",
            "postal_code": "673611626",
            "telephone_number": "620-725-3262",
            "fax_number": "620-725-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Cedar Vale",
            "state": "KS",
            "postal_code": "670249704",
            "country_code": "US",
            "telephone_number": "620-758-2711",
            "fax_number": "620-758-2724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHARMACY INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "DULEY",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "620-725-3262",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Health Pharmacy of Sedan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derrick W. Kimball, D.C.
• Kisa Life Recovery, LLC
• Bethany Anne Lear, RD, LD
• Levi Lear, PA-C
• Wade Matherly, P.A.
• Pleasant Valley Nursing, LLC (Pleasant Valley Manor)
• Lori Ann Ridder, PA
• Elizabeth Catherine Ross
• Sedan Area Emergency Medical Service District 2 Inc
• Sedan City Hospital

• Community/Retail Pharmacy in Sedan, KS
• Providers in Sedan, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.