Dan McHans Store Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

006087 Issued in MO

Legal business name

DAN MCHANS STORE INC

Doing business as

Dan Ans Stans Pharmacy

Practice address

103 E Broadway St
Bolivar, MO 65613-1621

Phone

(417) 326-7666

Fax

(417) 777-8073

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dan Roy McHan, PHDNPI 1649367335

Title

Owner

Phone

(417) 326-7666

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DAN ANS STANS PHARMACY Doing business as

Tax ID family

Dan Ans Stans Pharmacy2 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.

• Dan McHan Store in

  dba Dan & Stans Pharmacy

  • Pharmacist
  • Bolivar, MO
  • NPI 1063557874
  NPD tax ID

Locations

Practitioners 1

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.

• Dan McHan, RPHPHD

  • Pharmacist
  • Bolivar, MO
  • NPI 1649367335
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1275601353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E BROADWAY ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131621",
            "telephone_number": "417-326-7666",
            "fax_number": "417-777-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E BROADWAY ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131621",
            "telephone_number": "417-326-7666",
            "fax_number": "417-777-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN MCHANS STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MCHAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-326-7666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "006087",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600135305",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2604925",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAN ANS STANS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Lewis Crafton, PHARM.D.
• Olivia Jenae Cumley, FNP
• Carol D Curless, FNP
• Mandy R D'Agostino, FNP-C
• Dan McHan Store in (Dan & Stans Pharmacy)
• Daniel T Goodman DDS LLC
• Kristi Darnell, MS
• Kristen Davern, ATC, LAT
• Makaela Dawn David
• Inta Davidyuk, FNP

• Pharmacist in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.