NPIMap

Organization Active NPI

Medicine Store LLC

Doing business as The Medicine Store

  • Community/Retail Pharmacy
  • Tonganoxie, KS
National Provider Identifier
1356370217
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-10213 Issued in KS
Legal business name
MEDICINE STORE LLC
Doing business as
The Medicine Store
Practice address
760 Northstar CT
Tonganoxie, KS 66086-8933
Phone
(913) 369-2100
Fax
(913) 369-2101
NPI assigned
Jul 2, 2006
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Terri Taylor, BS PHARM
Title
Manager/Pharmacist in Charge
Phone
(913) 369-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 2-10213 KS Primary

Addresses

Primary practice location

760 Northstar CT
Tonganoxie, KS 66086-8933

Mailing address

PO Box 580
Tonganoxie, KS 66086-0580
Phone (913) 369-2100

Other identifiers 3

IdentifierTypeStateIssuer
2025539OtherPK
200574500CMedicaidKS
200574500DMedicaidKS

Other names 1

  • THE MEDICINE STORE Doing business as

National Provider Directory

National Provider Directory

Locations

760 Northstar Ct
Tonganoxie, KS 66086
Phone (913) 369-2100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1356370217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660860580",
            "telephone_number": "913-369-2100",
            "fax_number": "913-369-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NORTHSTAR CT",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660868933",
            "telephone_number": "913-369-2100",
            "fax_number": "913-369-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "MANAGER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "913-369-2100",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-10213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2025539",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200574500C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200574500D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tonganoxie, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.