Organization Active NPI

Medical Center Pharmacy Inc

Doing business as Dons Rexall Drug

  • Community/Retail Pharmacy
  • Peabody, KS
National Provider Identifier
1366459034
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-07680 Issued in KS
Legal business name
MEDICAL CENTER PHARMACY INC
Doing business as
Dons Rexall Drug
Practice address
126 N Walnut St
Peabody, KS 66866-1060
Phone
(620) 983-2162
Fax
(620) 983-2313
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Alan Schooler
Title
Partner
Phone
(620) 983-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2-07680 KS Primary

Addresses

Primary practice location

126 N Walnut St
Peabody, KS 66866-1060

Mailing address

126 N Walnut St
Peabody, KS 66866-1060
Phone (620) 983-2162

Other identifiers 2

IdentifierTypeStateIssuer
2031319OtherPK
10043767013MedicaidKS

Other names 1

  • DONS REXALL DRUG Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1366459034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N WALNUT ST",
            "city": "PEABODY",
            "state": "KS",
            "postal_code": "668661060",
            "telephone_number": "620-983-2162",
            "fax_number": "620-983-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N WALNUT ST",
            "city": "PEABODY",
            "state": "KS",
            "postal_code": "668661060",
            "telephone_number": "620-983-2162",
            "fax_number": "620-983-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "SCHOOLER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "620-983-2162"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-07680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031319",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10043767013",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DONS REXALL DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peabody, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.