Active NPI
Ar - Ex Drug Store Inc
- Community/Retail Pharmacy
- Marysville, KS
National Provider Identifier
1447334453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 207380
- Legal business name
- AR - EX DRUG STORE INC
- Practice address
- 801 Broadway
Marysville, KS 66508 - Phone
- (785) 562-3196
- Fax
- (785) 562-2340
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Glenda J Lowdermilk
- Title
- Secretary Treasurer
- Phone
- (785) 562-3196
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 207380 | KS | Primary |
Addresses
Primary practice location
801 Broadway
Marysville, KS 66508
Mailing address
801 Broadway
Marysville, KS 66508
Phone (785) 562-3196
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100434360A | Medicaid | KS | |
| 1704003 | Other | NCPDC | |
| 100434350A | Medicaid | KS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1447334453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 BROADWAY",
"city": "MARYSVILLE",
"state": "KS",
"postal_code": "66508",
"telephone_number": "785-562-3196",
"fax_number": "785-562-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BROADWAY",
"city": "MARYSVILLE",
"state": "KS",
"postal_code": "66508",
"telephone_number": "785-562-3196",
"fax_number": "785-562-2340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AR - EX DRUG STORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "LOWDERMILK",
"authorized_official_first_name": "GLENDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SECRETARY TREASURER",
"authorized_official_telephone_number": "785-562-3196",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "207380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100434360A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDC",
"identifier": "1704003",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100434350A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.