MDDC, Inc

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

2-09696 Issued in KS

Legal business name

MDDC, INC

Practice address

1701 Commerce Rd
Tonganoxie, KS 66086-5369

Phone

(913) 845-8436

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jim Thornton, RPH

Title

Pharmacist in Charge

Phone

(913) 845-8436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Right Choice Pharmacy Doing business as

Tax ID family

MDDC Inc2 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.

• MDDC, Inc.

  • Pharmacy
  • Tonganoxie, KS
  • NPI 1881689131
  NPD tax ID

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366568628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 COMMERCE RD",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660865369",
            "telephone_number": "913-845-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COMMERCE RD",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660865369",
            "telephone_number": "913-845-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDDC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "913-845-8436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "KS",
            "license": "2-09696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60 874111 01",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right Choice Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley McCulloh
• Rachel McCullough
• Lakrystal B McKnight
• Kristen McMahan
• Rachel McSpadden
• MDDC, Inc.
• Medexcel Medical Transportation
• Medicine Store LLC
• Danielle Medina, LPC
• Douglas Paul Meyer, RPH

• All providers in Tonganoxie, KS
• Mail Order Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.