NPIMap

Organization Active NPI

Grahams South Side Drugs

  • Durable Medical Equipment & Medical Supplies
  • Harrisonville, MO
National Provider Identifier
1700928249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PS004160 Issued in MO
Legal business name
GRAHAMS SOUTH SIDE DRUGS
Practice address
103 E Mechanic St
Harrisonville, MO 64701-2461
Phone
(816) 380-3321
Fax
(816) 887-5206
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leroy Graham
Title
Pharmacisr
Phone
(816) 887-5206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PS004160 MO Primary

Addresses

Primary practice location

103 E Mechanic St
Harrisonville, MO 64701-2461

Mailing address

103 E Mechanic St
Harrisonville, MO 64701-2461
Phone (816) 380-3321

National Provider Directory

National Provider Directory
Tax ID family
Grahams South Side Drugs2 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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700928249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MECHANIC ST",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012461",
            "telephone_number": "816-380-3321",
            "fax_number": "816-887-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MECHANIC ST",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012461",
            "telephone_number": "816-380-3321",
            "fax_number": "816-887-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAMS SOUTH SIDE DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "PHARMACISR",
        "authorized_official_telephone_number": "816-887-5206"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "PS004160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.