Gatlin Family Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GATLIN FAMILY PHARMACY LLC

Doing business as

Gatlin Medical Arts Pharmacy

Practice address

420 Country Club Rd
Pratt, KS 67124-3125

Phone

(620) 672-7447

Fax

(620) 672-6236

NPI assigned

Jul 12, 2017

Last updated

May 19, 2019By 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

Mr. Terry Lynn Gatlin, RPH

Title

Owner/Pharmacist

Phone

(620) 388-1258

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Gatlin Medical Arts Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Tax ID family

Gatlin Family Pharmacy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gatlin Family Pharmacy LLC

  dba Gatlin Pharmacy

  • Community/Retail Pharmacy
  • Pratt, KS
  • NPI 1265956510
  NPD tax ID
• Gatlin Family Pharmacy LLC

  dba Gatlin Medical Arts Pharmacy

  • Long Term Care Pharmacy
  • Pratt, KS
  • NPI 1639828858
  NPD tax ID

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558224000000",
    "number": "1992227854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 COUNTRY CLUB RD",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243125",
            "telephone_number": "620-672-7447",
            "fax_number": "620-672-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COUNTRY CLUB RD",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243125",
            "telephone_number": "620-672-7447",
            "fax_number": "620-672-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATLIN FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2019-05-19",
        "status": "A",
        "authorized_official_last_name": "GATLIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "620-388-1258",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-101672",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN DMEPOS",
            "identifier": "7627490001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN IMMUNIZATIONS",
            "identifier": "KA4364",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201168120A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gatlin Medical Arts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli Gallagher, OTR/L
• Heather Michelle Galle
• Yadira Garcia Pedroza
• Gatlin Family Pharmacy LLC (Gatlin Pharmacy)
• Gatlin Family Pharmacy LLC (Gatlin Medical Arts Pharmacy)
• Terry Lynn Gatlin, BSPHARM
• Scott William Gordon, DPM
• Grace Clinic & Urgent Care LLC
• Charles Gunnerson, CRNA
• Andrew P Gwennap

• Long Term Care Pharmacy in Pratt, KS
• Providers in Pratt, KS by specialty
• Long Term Care Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.