Individual provider Active NPI

Mary Gwen Sturdy, R.PH.

  • Pharmacist
  • Osborne, KS
National Provider Identifier
1366037533
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-10040 Issued in KS
Practice address
103 W Main St
Osborne, KS 67473-2402
Phone
(785) 346-2136
Fax
(785) 346-5898
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9480 OK
Pharmacist 183500000X 1-10040 KS Primary

Addresses

Primary practice location

103 W Main St
Osborne, KS 67473-2402

Mailing address

3201 Barclay Dr
Hays, KS 67601-2001
Phone (785) 623-0025

Other practice location 1

125 S Main St
Smith Center, KS 66967-2605
Phone (785) 282-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1-10040KSMDPharmacist
9480OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin L Kriley Past Accepting new patients
Ridgway Drug PastSince Mar 16, 2021 Accepting new patients
Mainstreet Drug PA PastSince Mar 16, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1366037533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 BARCLAY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012001",
            "telephone_number": "785-623-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674732402",
            "telephone_number": "785-346-2136",
            "fax_number": "785-346-5898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Main St",
            "address_purpose": "LOCATION",
            "city": "Smith Center",
            "state": "KS",
            "postal_code": "669672605",
            "country_code": "US",
            "telephone_number": "785-282-3311",
            "fax_number": "785-282-6844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STURDY",
        "first_name": "MARY",
        "middle_name": "GWEN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "9480",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-10040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osborne, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.