Organization Active NPI

Ar - Ex Drug Store Inc

  • Community/Retail Pharmacy
  • Marysville, KS
National Provider Identifier
1447334453
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
207380 Issued in KS
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100434360AMedicaidKS
1704003OtherNCPDC
100434350AMedicaidKS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.