Organization Active NPI

Hawthorn Drug Group Inc

  • Community/Retail Pharmacy
  • North Kansas City, MO
National Provider Identifier
1710367677
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HAWTHORN DRUG GROUP INC
Practice address
21 Design Dr.
North Kansas City, MO 64116-3019
Phone
(888) 405-9981
Fax
(866) 683-7962
NPI assigned
Jun 5, 2015
Organization subpart
Yes
Parent organization
CONCORDIA HELATHCARE USA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Lori Bultmann
Title
General Manager
Phone
(816) 621-2010

Specialties & licenses 1

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

Addresses

Primary practice location

21 Design Dr.
North Kansas City, MO 64116-3019

Mailing address

21 Design Dr.
North Kansas City, MO 64116-3019
Phone (888) 405-9981

National Provider Directory

National Provider Directory

Locations

21 Design Dr
North Kansas City, MO 64116
Phone (888) 405-9981

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1710367677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DESIGN DR.",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163019",
            "telephone_number": "888-405-9981",
            "fax_number": "866-683-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DESIGN DR.",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163019",
            "telephone_number": "888-405-9981",
            "fax_number": "866-683-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORN DRUG GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCORDIA HELATHCARE USA INC",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "BULTMANN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "816-621-2010"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.