Provider Demographics
NPI:1912437427
Name:HEALTH CENTER PHARMACY INC
Entity Type:Organization
Organization Name:HEALTH CENTER PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:620-221-7850
Mailing Address - Street 1:722 WHEAT RD
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-3216
Mailing Address - Country:US
Mailing Address - Phone:620-221-7850
Mailing Address - Fax:620-221-3296
Practice Address - Street 1:722 WHEAT ROAD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156
Practice Address - Country:US
Practice Address - Phone:620-221-7850
Practice Address - Fax:620-221-3296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-16
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2-101670332B00000X, 3336C0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2-101670OtherPHARMACY REGISTRATION
KS201162440AMedicaid
KS201162440BMedicaid