Active NPI
Jan R Granados, PHARMD
- Pharmacist
- Minneola, KS
National Provider Identifier
1891708509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-13847
- Practice address
- 131 S. Main St
Minneola, KS 67865 - Phone
- (620) 855-2242
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-13847 | KS | Primary |
Addresses
Primary practice location
131 S. Main St
Minneola, KS 67865
Mailing address
PO Box 460
Minneola, KS 67865-0460
Phone (620) 885-4544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-13847 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JGS Health Services LLC | Current | Accepting new patients | |
| Minneola Pharmacy II LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Minneola, KS
- NPI 1447353503
-
- Long Term Care Pharmacy
- Minneola, KS
- NPI 1508324021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1891708509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460",
"city": "MINNEOLA",
"state": "KS",
"postal_code": "678650460",
"telephone_number": "620-885-4544",
"fax_number": "620-885-4723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 S. MAIN ST",
"city": "MINNEOLA",
"state": "KS",
"postal_code": "67865",
"telephone_number": "620-855-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANADOS",
"first_name": "JAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-13847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.