Pharmacy Associates of Dodge City, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

213186 Issued in NU

Legal business name

PHARMACY ASSOCIATES OF DODGE CITY, INC

Doing business as

Gibson's Pharmacy

Practice address

2401 Central Ave
Dodge City, KS 67801

Phone

(620) 227-8193

Fax

(620) 227-8006

NPI assigned

Nov 2, 2006

Last updated

Aug 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krista MorrisonNPI 1053903708

Title

Pharmacist

Phone

(620) 227-8193

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Gibson's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krista Morrison, PHARMD

  • Pharmacist
  • Dodge City, KS
  • NPI 1053903708
  NPD Authorized official
• Emily Bohme, PHARMD

  • Pharmacist
  • Colby, KS
  • NPI 1710579214
  NPD (past)
• Jordan A Doan

  • Pharmacist
  • Dodge City, KS
  • NPI 1104591718
  NPD (past)
• Mara Lee Goebel, PHARMD

  • Pharmacist
  • Dodge City, KS
  • NPI 1093306540
  NPD (past)
• Riley Lopp, PHARMD

  • Pharmacist
  • Dodge City, KS
  • NPI 1922781376
  NPD (past)
• Jenny Nguyen, PHARMD

  • Pharmacist
  • Dodge City, KS
  • NPI 1184399776
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1558440602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CENTRAL AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016206",
            "telephone_number": "620-227-8193",
            "fax_number": "620-227-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CENTRAL AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "67801",
            "telephone_number": "620-227-8193",
            "fax_number": "620-227-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ASSOCIATES OF DODGE CITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "620-227-8193"
    },
    "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": "NU",
            "license": "213186",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200302550A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gibson's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Andrew Pelton, ATC, AEMT
• Shawna Ann Penick, PHARMD
• Perfect Fit Foundation of SWK LLC (Perfect Fit Therapy Clinic)
• Jared Christopher Peters, D.C.
• Pharmacy Associates of Dodge City, Inc (Gibson's Pharmacy)
• Phillips Chiropractic P.a.
• Phillips Chiropractic P.a. (DCMC Physical Therapy)
• Phillips Chiropractic, PA (PT Works)
• Jammie D Phillips, D. C.
• Physical Therapy Works LLC

• Community/Retail Pharmacy in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.