NPIMap

Organization Active NPI

Pharmacon Drug

  • Community/Retail Pharmacy
  • Derby, KS
National Provider Identifier
1568579316
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7913 Issued in KS
Legal business name
PHARMACON DRUG
Doing business as
Damm Pharmacy
Practice address
1412 N Woodlawn Blvd
Derby, KS 67037-2922
Phone
(316) 788-5533
Fax
(316) 788-7432
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Mr. Gary P Damm, RPH
Title
Pharmacist
Phone
(316) 788-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 7913 KS Primary

Addresses

Primary practice location

1412 N Woodlawn Blvd
Derby, KS 67037-2922

Mailing address

1412 N Woodlawn Blvd
Derby, KS 67037-2922
Phone (316) 788-5533

Other identifiers 1

IdentifierTypeStateIssuer
100438000AMedicaidKS

Other names 1

  • Damm Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Damm Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1568579316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 N WOODLAWN BLVD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372922",
            "telephone_number": "316-788-5533",
            "fax_number": "316-788-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 N WOODLAWN BLVD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372922",
            "telephone_number": "316-788-5533",
            "fax_number": "316-788-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACON DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "DAMM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "316-788-5533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "7913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100438000A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Damm Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.