NPIMap

Organization Active NPI

D & D Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Poteau, OK
National Provider Identifier
1003033507
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
192871 Issued in OK
Legal business name
D & D PHARMACY
Practice address
1940 N Broadway St
Poteau, OK 74953-2638
Phone
(918) 647-3137
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Doug Horne
Title
Owner
Phone
(918) 647-3137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 192871 OK Primary

Addresses

Primary practice location

1940 N Broadway St
Poteau, OK 74953-2638

Mailing address

PO Box 592
Poteau, OK 74953-0592

Other identifiers 1

IdentifierTypeStateIssuer
100234490AMedicaidOK

Other names 1

  • D & D Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DD Pharmacy Incorporated3 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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1003033507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532638",
            "telephone_number": "918-647-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & D PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-647-3137"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "192871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D & D Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.