Active NPI
Gosney Pharmacy Inc
- Community/Retail Pharmacy
- Monroe City, MO
National Provider Identifier
1962448472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2014043722
- Legal business name
- GOSNEY PHARMACY INC
- Practice address
- 911 Highway 24/36 East
Monroe City, MO 63456 - Phone
- (573) 735-1130
- Fax
- (573) 735-4831
- NPI assigned
- Jun 22, 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
- David Gosney
- Title
- Owner
- Phone
- (573) 795-2304
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2014043722 | MO | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
911 Highway 24/36 East
Monroe City, MO 63456
Mailing address
911 Highway 24/36 East
Monroe City, MO 63456
Phone (573) 735-1130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047522 | Other | PK | |
| 6082722902 | Medicaid | MO |
Other names 1
- GOSNEY PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Gosney Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Hannibal, MO
- NPI 1205189040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487203200000",
"number": "1962448472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 HIGHWAY 24/36 EAST",
"city": "MONROE CITY",
"state": "MO",
"postal_code": "63456",
"telephone_number": "573-735-1130",
"fax_number": "573-735-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 HIGHWAY 24/36 EAST",
"city": "MONROE CITY",
"state": "MO",
"postal_code": "63456",
"telephone_number": "573-735-1130",
"fax_number": "573-735-4831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOSNEY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2017-02-16",
"status": "A",
"authorized_official_last_name": "GOSNEY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-795-2304"
},
"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": "2014043722",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2047522",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6082722902",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GOSNEY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monroe City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.