General Store No Two Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

006016 Issued in MO

Legal business name

GENERAL STORE NO TWO INC

Doing business as

Marshs Sun Fresh Pharmacy

Practice address

4001 Mill St
Kansas City, MO 64111-3008

Phone

(816) 931-1505

Fax

(816) 931-0020

NPI assigned

Nov 9, 2006

Last updated

Jan 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Marsh

Title

Owner

Phone

(816) 931-1639

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MARSHS SUN FRESH PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Havener, PHARMD

  • Pharmacist
  • Kansas City, MO
  • NPI 1124550371
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1962572537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MILL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113008",
            "telephone_number": "816-931-1505",
            "fax_number": "816-931-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MILL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113008",
            "telephone_number": "816-931-1505",
            "fax_number": "816-931-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL STORE NO TWO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-931-1639"
    },
    "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": "006016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608476602",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047521",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARSHS SUN FRESH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Gemmell, D.O.
• Gen 3 IV Hydration and Wellness
• Peter J Genaris III, MD
• Amanda Genau, RN
• Melissa Gener, M.D.
• Generations Specialty Services, LLC
• Genesis Care Center
• Genesis School Inc.
• Genesis School, Inc
• Angela Lauren Gengelbach, APRN, FNP-C

• Community/Retail Pharmacy in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.