NPIMap

Organization Active NPI

Pharmacon Drug P.a. Dba Andover Drug

  • Pharmacist
  • Andover, KS
National Provider Identifier
1871922088
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2-13013 Issued in KS
Legal business name
PHARMACON DRUG P.A. DBA ANDOVER DRUG
Practice address
307 W Hwy 54 BLDG 200
Andover, KS 67002-7848
Phone
(316) 260-6030
NPI assigned
Nov 7, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Gary Damm, RPH
Title
Owner
Phone
(316) 788-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2-13013 KS Primary

Addresses

Primary practice location

307 W Hwy 54 BLDG 200
Andover, KS 67002-7848

Mailing address

1412 N Woodlawn Blvd
Derby, KS 67037-2922
Phone (316) 788-5533

National Provider Directory

National Provider Directory
Tax ID family
Damm Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1871922088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 N WOODLAWN BLVD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372922",
            "telephone_number": "316-788-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W HWY 54 BLDG 200",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027848",
            "telephone_number": "316-260-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACON DRUG P.A. DBA ANDOVER DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "DAMM",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-788-5533",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "2-13013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.