MATHIS DRUG STORE, INC. (NPI# 1861418444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861418444 |
| Entity Type | Organization |
| Organization Name | MATHIS DRUG STORE, INC. |
| Practice Address |
400 W Saint John St Girard KS 66743-1213 |
| Mailing Address |
Po Box 97 Girard KS 66743-0097 |
| Practice Telephone | 6207244313 |
| Practice Fax Number | 6207246900 |
| Mailing Telephone | 6207248400 |
| Mailing Fax Number | 6207246900 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | GLEN M. MATHIS (PRESIDENT PHARMACIST-IN-CHARGE) |
| Authorized Official Telephone | 6207244313 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
206354 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100435000A | 05 |
| Street Address |
400 W SAINT JOHN ST |
| City | GIRARD |
| State | KS |
| Zip Code | 66743-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942229679 | Glen M Mathis | Pharmacist | 400 W Saint John St, Girard, KS 66743-1213 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497725477 | Peterson Anesthesia Inc | Nurse Anesthetist, Certified Registered | 302 North Hospital Drive, Girard, KS 66743 | 2006-01-24 |
| 1205821832 | T.w.g. Nursing Home, Inc. | Skilled Nursing Facility | 511 N Western, Girard, KS 66743 | 2005-09-20 |
| 1083831531 | Pittsburg Radiology Associates,pa | Specialist | 302 N Hospital Dr, Girard, KS 66743 | 2007-04-19 |
| 1659345916 | Don Terry Buche | Nurse Anesthetist, Certified Registered | 302 North Hospital Drive, Girard, KS 66743 | 2006-02-14 |
| 1225285000 | Jennifer Kelly | Specialist | 448 E Highway 47, Girard, KS 66743-0172 | 2008-08-22 |
| 1548493992 | Girard Usd248 | Local Education Agency (LEA) | 415 N Summit St, Girard, KS 66743-1128 | 2009-09-02 |
| 1902209703 | Medicalodges, Inc. | Skilled Nursing Facility | 511 N Western Ave, Girard, KS 66743-1152 | 2014-10-07 |
| 1285781567 | Steven M.s. Halley | Counselor | 108 E Walnut St, Girard, KS 66743-1337 | 2007-01-05 |
| 1396116935 | Kannarr Eye Care, LLC | Optometrist | 111 N Summit St, Girard, KS 66743-1360 | 2015-10-08 |
| 1982607651 | Christopher J Paoni | Dentist | 106 S Ozark St, Girard, KS 66743-1530 | 2005-05-24 |
| Find all providers in zip 66743 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
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| 1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
| 1174143309 | Central Care, Pa | Pharmacy | 8919 Parallel Pkwy Ste 250, Kansas City, KS 66112-1655 | 2020-04-17 |
| 1942829916 | Sharon Lee Family Health Care, Inc | Pharmacy | 2002 S 51st St, Kansas City, KS 66106-2419 | 2020-04-10 |
| 1629617188 | Leekers Valley Center Inc | Pharmacy | 225 S Meridian, Valley Center, KS 67147 | 2020-01-02 |
| 1811536683 | Active Lifestyle Pharmacy LLC | Pharmacy | 7800 Foster St, Overland Park, KS 66204-2955 | 2019-12-27 |
| 1427694611 | Free State Pharmacy LLC | Pharmacy | 3200 Haskell Ave Ste 140, Lawrence, KS 66046-8945 | 2019-11-21 |
| 1588224315 | Gail Reif Inc. | Pharmacy | 2040 Hutton Rd Ste 101, Kansas City, KS 66109-4566 | 2019-06-14 |
| 1356807044 | Dandurand Wellness, Inc. | Pharmacy | 550 N Hillside St Ste 3-100, Wichita, KS 67214-4910 | 2019-02-18 |
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| 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.