NPIMap

Organization Active NPI

Gatlin Family Pharmacy LLC

Doing business as Gatlin Pharmacy

  • Community/Retail Pharmacy
  • Pratt, KS
National Provider Identifier
1265956510
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-101672 Issued in KS
Legal business name
GATLIN FAMILY PHARMACY LLC
Doing business as
Gatlin Pharmacy
Practice address
112 N Main St
Pratt, KS 67124-1737
Phone
(620) 770-8008
Fax
(620) 508-6368
NPI assigned
Jul 28, 2017
Last updated
Jul 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Terry Gatlin
Title
Owner/Pic
Phone
(620) 770-8008

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-101672 KS Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

112 N Main St
Pratt, KS 67124-1737

Mailing address

112 N. Main St.
Pratt, KS 67124-2113
Phone (620) 770-8008

Other identifiers 1

IdentifierTypeStateIssuer
2170239OtherPK

Other names 1

  • Gatlin Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gatlin Family Pharmacy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

112 N Main St
Pratt, KS 67124
Phone (620) 770-8008

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1265956510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N. MAIN ST.",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242113",
            "telephone_number": "620-770-8008",
            "fax_number": "620-508-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671241737",
            "telephone_number": "620-770-8008",
            "fax_number": "620-508-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATLIN FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "GATLIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "620-770-8008"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-101672",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170239",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gatlin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gatlin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pratt, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.