Yates Center Pharmacy, Inc
Organization Active NPI Pharmacy · Yates Center, KS
NPI 1851390405 · NPPES record last updated Apr 28, 2011
Key facts
- NPI
- 1851390405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 208078 (KS)
- Legal business name
- YATES CENTER PHARMACY, INC
- Practice address
- 122 W Rutledge St
Yates Center, KS 66783-1238 - Phone
- (620) 625-2221
- Fax
- (620) 625-2453
- NPI assigned
- Jul 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Gerald J Sedlacek, RPH
- Title
- Pharmacist/President
- Phone
- (620) 625-2221
Practitioners 1
-
Gerald J Sedlacek, RPH
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 208078 | KS | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0193610001 | KS | |
| Pharmacy | 333600000X | 208078 | KS | Yes |
Addresses
Primary practice location
122 W Rutledge St
Yates Center, KS 66783-1238
Mailing address
122 W Rutledge St
Yates Center, KS 66783-1238
Phone (620) 625-2221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100439000A | Medicaid | KS | |
| 100439000B | Medicaid | KS |
Other providers in Yates Center, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.