Organization Active NPI

G & L Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Ness City, KS
National Provider Identifier
1689773590
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7864 Issued in KS
Legal business name
G & L PHARMACY, INC.
Practice address
207 S Pennsylvania Ave
Ness City, KS 67560-1909
Phone
(785) 798-2897
Fax
(785) 798-3267
NPI assigned
Sep 21, 2006
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Greg FlaxNPI 1215445978
Title
President
Phone
(785) 798-2897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 7864 KS Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

207 S Pennsylvania Ave
Ness City, KS 67560-1909

Mailing address

207 S Pennsylvania Ave
Ness City, KS 67560-1909
Phone (785) 798-2897

Other identifiers 1

IdentifierTypeStateIssuer
100439620AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930051595 KS DME Supplier - Pharmacy 3173641339 Practice locations: Ness City, KS
O20171026003076 KS Part B Supplier - Mass Immunization (Roster Biller Only) 3173641339 Practice locations: Ness City, KS

National Provider Directory

National Provider Directory
Tax ID family
G L Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

207 S Pennsylvania Ave
Ness City, KS 67560
Phone (785) 798-2897

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1689773590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S PENNSYLVANIA AVE",
            "city": "NESS CITY",
            "state": "KS",
            "postal_code": "675601909",
            "telephone_number": "785-798-2897",
            "fax_number": "785-798-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S PENNSYLVANIA AVE",
            "city": "NESS CITY",
            "state": "KS",
            "postal_code": "675601909",
            "telephone_number": "785-798-2897",
            "fax_number": "785-798-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & L PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "FLAX",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-798-2897"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "7864",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439620A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ness City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.