Active NPI
Seitz Pharmacy LLC
Doing business as Seitz Drug
- Community/Retail Pharmacy
- Ellsworth, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-102146
- Legal business name
- SEITZ PHARMACY LLC
- Doing business as
- Seitz Drug
- Practice address
- 206 N Douglas Ave
Ellsworth, KS 67439-3216 - Phone
- (785) 472-3212
- Fax
- (785) 472-5464
- NPI assigned
- Aug 18, 2006
- Last updated
- Apr 27, 2023
- 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
- Dr. Kynan Gibson, PHARM.D
- Title
- Owner
- Phone
- (785) 827-4455
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2-102146 | KS | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
206 N Douglas Ave
Ellsworth, KS 67439-3216
Mailing address
206 N Douglas Ave
Ellsworth, KS 67439-3216
Phone (785) 472-3212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201152290A | Medicaid | KS | |
| 2168702 | Other | PK |
Other names 1
- SEITZ DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240327000142 | KS | Part B Supplier - Pharmacy | 3577900489 | Practice locations: Ellsworth, KS |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
206 N Douglas Ave
Ellsworth, KS 67439
Phone (785) 472-3212
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Salina, KS
- NPI 1346595097
-
- Pharmacist
- Salina, KS
- NPI 1306437371
-
- Pharmacist
- Ellsworth, KS
- NPI 1487418893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1265546246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N DOUGLAS AVE",
"city": "ELLSWORTH",
"state": "KS",
"postal_code": "674393216",
"telephone_number": "785-472-3212",
"fax_number": "785-472-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N DOUGLAS AVE",
"city": "ELLSWORTH",
"state": "KS",
"postal_code": "674393216",
"telephone_number": "785-472-3212",
"fax_number": "785-472-5464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEITZ PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "KYNAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "785-827-4455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "2-102146",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201152290A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2168702",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SEITZ DRUG",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SEITZ DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellsworth, KS
- Alexia Rainey, DO
- Cheryl Ann Rathbun, LSCSW
- Lisa Kay Ross, RDH
- Patty Ruetz, PHYSICAL THERAPIST
- Lynsey Schultz, RN
- Jerzy Slomka, MD
- Jessica Dawn Stefek
- Steinhaus Counseling, LLC (Counseling Inc)
- Steven E. Steinhaus, MS, TLPC, CADC II
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan - Ellsworth Village)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.