GRACEMED HEALTH CLINIC, INC (NPI# 1437697174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437697174 |
| Entity Type | Organization |
| Organization Name | GRACEMED HEALTH CLINIC, INC |
| Other Organization Name | GRACEMED PHARMACY |
| Practice Address |
1122 N Topeka St Wichita KS 67214-2810 |
| Practice Telephone | 3168662000 |
| Mailing Telephone | 3168662000 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | DAVID C SANFORD (CEO) |
| Authorized Official Telephone | 3168662001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| GraceMed Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1992113898 | Gracemed Health Clinic, Inc | Clinic/Center | 5000 S Clifton Ave Ste 200, Wichita, KS 67216-3408 | 2014-07-24 |
| 1952651713 | Gracemed Health Clinic, Inc | Clinic/Center | 4910 W 1st St N, Wichita, KS 67212-2341 | 2012-09-19 |
| 1568947737 | Gracemed Health Clinic, Inc | Clinic/Center | 101 E Ross St, Clearwater, KS 67026-7824 | 2018-10-03 |
| 1871035709 | Gracemed Health Clinic, Inc | Clinic/Center | 322 N Main St, Suite 100, Mcpherson, KS 67460-4308 | 2016-11-09 |
| 1285083469 | Gracemed Health Clinic, Inc | Clinic/Center | 2025 Se California Ave, Topeka, KS 66607-1443 | 2016-06-08 |
| 1194174482 | Gracemed Health Clinic, Inc | Clinic/Center | 1615 Sw 8th Ave, Topeka, KS 66606-1633 | 2016-06-07 |
| 1053770818 | Gracemed Health Clinic, Inc | Clinic/Center | 3417 S Meridian Ave, Wichita, KS 67217-2151 | 2016-02-22 |
| 1861859787 | Gracemed Health Clinic, Inc | Clinic/Center | 1919 N Amidon Ave, Suite 100, Wichita, KS 67203-2117 | 2016-01-22 |
| 1730575069 | Gracemed Health Clinic, Inc | Clinic/Center | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2015-04-14 |
| Street Address |
1122 N TOPEKA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445157 | Kathleen Diane Tyndall | Physician Assistant | 1122 N Topeka St, Wichita, KS 67214-2810 | 2005-05-24 |
| 1124638127 | Adam Lee Coppenbarger | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2020-08-04 |
| 1902415003 | Tiffany Pinkston | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2020-07-24 |
| 1215415476 | Mehvash S Shahzada | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2018-07-31 |
| 1720570484 | Rachel Hayes Clark | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2018-05-30 |
| 1922519669 | Molly Wiwi | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2017-10-21 |
| 1972049799 | Sheila Adams | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2017-01-18 |
| 1518317072 | Charis Marie Mccoy | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2016-06-15 |
| 1891142261 | Sandrine Nkouga | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2016-05-16 |
| 1982085288 | Linda Gobin | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992043202 | Arthritis and Rheumatology Clinics of Kansas, LLC | Pharmacy | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2013-01-21 |
| 1972571784 | Family Prescription Shop Inc | Pharmacy | 1515 S Clifton Ave, Wichita, KS 67218-2900 | 2006-03-08 |
| 1679541585 | Family Prescription Shop Inc | Pharmacy | 7111 E 21st St N, Wichita, KS 67206-1090 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489838 | Sharon Lee Family Health Care, Inc | Pharmacy | 340 Southwest Blvd, Kansas City, KS 66103-2150 | 2019-07-23 |
| 1114448404 | Myers Family Center Pharmacy | Pharmacy | 616 Cedar St, Cedar Vale, KS 67024-9704 | 2017-06-28 |
| 1780040238 | Citizens Medical Center, Inc | Pharmacy | 100 E College Dr, Colby, KS 67701-3702 | 2016-01-13 |
| 1659757037 | Konza Prairie Community Health Center, Inc. | Pharmacy | 361 Grant Ave, Junction City, KS 66441-4201 | 2015-08-07 |
| 1013182047 | Iola Pharmacy Inc | Pharmacy | 1408 East St, Iola, KS 66749-4402 | 2008-04-30 |
| 1225177140 | Jane Phillips Memorial Medical Center, Inc | Pharmacy | 800 W Laurel St, Independence, KS 67301-3211 | 2007-02-06 |
| 1952357691 | Kansas State University | Pharmacy | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2006-05-25 |
Please comment or provide details below to improve the information on GRACEMED HEALTH CLINIC, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.