Organization Active NPI

Gillen Pharmacy Inc

  • Community/Retail Pharmacy
  • Harrisonville, MO
National Provider Identifier
1932179579
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2002016484 Issued in MO
Legal business name
GILLEN PHARMACY INC
Doing business as
Gillen Pharmacy
Practice address
2820 E Rock Haven Rd Ste 110
Harrisonville, MO 64701-4413
Phone
(816) 884-5115
Fax
(816) 884-4559
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Leanne Dickerson, DPH
Title
Owner
Phone
(816) 884-4559

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2002016484 MO Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2820 E Rock Haven Rd Ste 110
Harrisonville, MO 64701-4413

Mailing address

2820 E Rock Haven Rd Ste 110
Harrisonville, MO 64701-4413
Phone (816) 884-5115

Other identifiers 2

IdentifierTypeStateIssuer
600309702MedicaidMO
2048908OtherPK

Other names 1

  • Gillen Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2820 E Rock Haven Rd
Ste 110
Harrisonville, MO 64701
Phone (816) 884-5115

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1932179579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E ROCK HAVEN RD STE 110",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014413",
            "telephone_number": "816-884-5115",
            "fax_number": "816-884-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E ROCK HAVEN RD STE 110",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014413",
            "telephone_number": "816-884-5115",
            "fax_number": "816-884-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-884-4559",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2002016484",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600309702",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gillen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.