Aldrich Apothecary Chartered

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-07647 Issued in KS

Legal business name

ALDRICH APOTHECARY CHARTERED

Doing business as

Aldrich Apothecary

Practice address

115 W Main St
Council Grove, KS 66846-1702

Phone

(620) 767-6731

Fax

(620) 767-6858

NPI assigned

Oct 17, 2006

Last updated

Jun 20, 2016By 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

Constance Aldrich

Title

Owner

Phone

(620) 767-6731

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• ALDRICH APOTHECARY Doing business as

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1285714709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461702",
            "telephone_number": "316-767-6800",
            "fax_number": "620-767-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461702",
            "telephone_number": "620-767-6731",
            "fax_number": "620-767-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDRICH APOTHECARY CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-767-6731"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-07647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100443780A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100443780B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030744",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALDRICH APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Donald Alderman, DDS
• Aldrich Apothecary Chartered (Aldrich Apothecary)
• Tabitha Barrett, LSCSW
• Deborah L Benning, PA
• Candis M Boily, LPC, LCPC
• Oldrich V Bubenik, MD

• Community/Retail Pharmacy in Council Grove, KS
• Providers in Council Grove, 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 Jun 20, 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.