Active NPI
Caldwell Compounding Pharmacy Inc
- Community/Retail Pharmacy
- Caldwell, KS
National Provider Identifier
1992873798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 208101
- Legal business name
- CALDWELL COMPOUNDING PHARMACY INC
- Practice address
- 7 N Main St
Caldwell, KS 67022-1529 - Phone
- (620) 845-6916
- Fax
- (620) 845-6961
- NPI assigned
- Dec 1, 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
- Ercil George, RPH
- Title
- Pres Pic
- Phone
- (620) 845-6916
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 208101 | KS | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
7 N Main St
Caldwell, KS 67022-1529
Mailing address
PO Box 32
Caldwell, KS 67022-0032
Phone (620) 845-6916
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100437110A | Medicaid | KS | |
| 2031598 | Other | PK |
Other names 1
- CALDWELL PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471219200000",
"number": "1992873798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "CALDWELL",
"state": "KS",
"postal_code": "670220032",
"telephone_number": "620-845-6916",
"fax_number": "620-845-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 N MAIN ST",
"city": "CALDWELL",
"state": "KS",
"postal_code": "670221529",
"telephone_number": "620-845-6916",
"fax_number": "620-845-6961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALDWELL COMPOUNDING PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2016-08-15",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "ERCIL",
"authorized_official_title_or_position": "PRES PIC",
"authorized_official_telephone_number": "620-845-6916",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "208101",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100437110A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2031598",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CALDWELL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Caldwell, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.