NPIMap

Organization Active NPI

Degoler'S Inc.

  • Community/Retail Pharmacy
  • Lenexa, KS
National Provider Identifier
1679972624
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-13044 Issued in KS
Legal business name
DEGOLER'S INC.
Practice address
19601 W 101St St
Lenexa, KS 66220-8600
Phone
(913) 764-9005
NPI assigned
Aug 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Glenn Harte
Title
Owner/Pharmacist
Phone
(913) 596-2447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2-13044 KS Primary

Addresses

Primary practice location

19601 W 101St St
Lenexa, KS 66220-8600

Mailing address

19601 W 101St St
Lenexa, KS 66220-8600
Phone (913) 764-9005

Other identifiers 1

IdentifierTypeStateIssuer
2146997OtherPK

Other names 1

  • DeGoler Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Degoler Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

19601 W 101st St
Lenexa, KS 66220
Phone (913) 213-5388

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1679972624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19601 W 101ST ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662208600",
            "telephone_number": "913-764-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19601 W 101ST ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662208600",
            "telephone_number": "913-764-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGOLER'S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "HARTE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "913-596-2447"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-13044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeGoler Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.