Active NPI
Gillen Pharmacy Inc
- Community/Retail Pharmacy
- Harrisonville, MO
National Provider Identifier
1932179579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2002016484
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600309702 | Medicaid | MO | |
| 2048908 | Other | PK |
Other names 1
- Gillen Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Lees Summit, MO
- NPI 1396113783
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
- Dora Delaine-Winter Furlong, LMT, NCTMB
- Teresa E. Gallagher-Calia, M.D.
- Garden of Persephone Counseling LLC
- Elizabeth Ashley Garwood, M.D.
- Amy Marie Gibbens, FNP-C
- Don Timothy Gilman, LMT, NCTMB
- Glasgow Transportation LLC
- Golden Years Nursing and Rehab LLC
- Golden Years Opco, LLC
- Golden Years Operations Management LLC
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.