Active NPI
Degoler's Inc.
Doing business as DeGoler Pharmacy
- Community/Retail Pharmacy
- Leavenworth, KS
National Provider Identifier
1548647241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-13172
- Legal business name
- DEGOLER'S INC.
- Doing business as
- DeGoler Pharmacy
- Practice address
- 209B Delaware St
Leavenworth, KS 66048-2823 - Phone
- (913) 596-2447
- Fax
- (913) 428-4947
- NPI assigned
- May 1, 2015
- Last updated
- May 1, 2015
- 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
- Glenn Harte
- Title
- President
- Phone
- (913) 596-2447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2-13172 | KS | Primary |
Addresses
Primary practice location
209B Delaware St
Leavenworth, KS 66048-2823
Mailing address
209-B Delaware St.
Leavenworth, KS 66048
Phone (913) 596-2447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151689 | Other | PK |
Other names 1
- DeGoler Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Degoler Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
Locations
209B Delaware St
Leavenworth, KS 66048
Phone (913) 596-2447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430438400000",
"number": "1548647241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209-B DELAWARE ST.",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "66048",
"telephone_number": "913-596-2447",
"fax_number": "913-428-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209B DELAWARE ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660482823",
"telephone_number": "913-596-2447",
"fax_number": "913-428-4947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEGOLER'S INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-01",
"last_updated": "2015-05-01",
"status": "A",
"authorized_official_last_name": "HARTE",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "913-596-2447"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "2-13172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2151689",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DeGoler Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.