Organization Active NPI

Grant Compounds Inc

Doing business as King Pharmacy

  • Compounding Pharmacy
  • Lawrence, KS
National Provider Identifier
1730220609
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
210117 Issued in KS
Legal business name
GRANT COMPOUNDS INC
Doing business as
King Pharmacy
Practice address
1112 W 6TH St
Ste 102
Lawrence, KS 66044-2215
Phone
(785) 843-4516
Fax
(785) 843-5723
NPI assigned
Feb 12, 2007
Last updated
Jan 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
John Grant, RPH
Title
Owner
Phone
(785) 843-4516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 210117 KS Primary

Addresses

Primary practice location

1112 W 6TH St
Ste 102
Lawrence, KS 66044-2215

Mailing address

1112 W 6TH St
Ste 102
Lawrence, KS 66044-2215
Phone (785) 843-4516

Other identifiers 1

IdentifierTypeStateIssuer
1719129OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • KING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1112 W 6th St
Ste 102
Lawrence, KS 66044
Phone (785) 843-4516

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1730220609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST",
            "address_2": "STE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-843-4516",
            "fax_number": "785-843-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST",
            "address_2": "STE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-843-4516",
            "fax_number": "785-843-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COMPOUNDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-843-4516",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "KS",
            "license": "210117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1719129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.