Caney Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CANEY PHARMACY INC

Practice address

208 W 4TH Ave
Caney, KS 67333-1462

Phone

(620) 879-5822

Fax

(620) 879-2721

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Gavin T DuleyNPI 1497208870

Title

President

Phone

(620) 879-5822

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Creative Health Pharmacy of Caney Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gavin Duley, PHARMD

  • Pharmacist
  • Caney, KS
  • NPI 1497208870
  NPD (past) Authorized official
• Hannah Joy Hedges, PHARM.D.

  • Pharmacist
  • Caney, KS
  • NPI 1548131188
  NPD (past)
• James Leonard McMinn, PHARMACIST

  • Pharmacist
  • Caney, KS
  • NPI 1831439330
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1801964606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 4TH AVE",
            "city": "CANEY",
            "state": "KS",
            "postal_code": "673331462",
            "telephone_number": "620-879-5822",
            "fax_number": "620-879-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 4TH AVE",
            "city": "CANEY",
            "state": "KS",
            "postal_code": "673331462",
            "telephone_number": "620-879-5822",
            "fax_number": "620-879-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "DULEY",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-879-5822"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155967",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439890B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100846330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Health Pharmacy of Caney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bayless Chiropractic, LLC
• McKenna Bayless, DC
• Roger Lee Burch, O.D.
• Lyndsay Camper, APRN
• Caney Nursing Center
• City of Caney
• Gavin Duley, PHARMD
• Hannah Joy Hedges, PHARM.D.
• Patricia Horton
• Jacklyn S Jones, ARNP

• All providers in Caney, KS
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.