Active NPI
Faithcare Pharmacy
- Community/Retail Pharmacy
- Burns Flat, OK
National Provider Identifier
1003624289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FAITHCARE PHARMACY
- Practice address
- 220 Ok- 44
Burns Flat, OK 73647 - Phone
- (580) 562-3629
- NPI assigned
- Dec 20, 2024
- Last updated
- Feb 26, 2025
- 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
- Ross An Foster, DPH
- Title
- Owner
- Phone
- (580) 309-2137
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | NU | Primary | |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
220 Ok- 44
Burns Flat, OK 73647
Mailing address
10266 N 2126 Rd
Foss, OK 73647-4772
Phone (580) 562-3629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-9816 | Other | OK | OKLAHOMA STATE BOARD OF PHARMACY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Clinton, OK
- NPI 1972060911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1003624289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10266 N 2126 RD",
"city": "FOSS",
"state": "OK",
"postal_code": "736474772",
"telephone_number": "580-562-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 OK- 44",
"city": "BURNS FLAT",
"state": "OK",
"postal_code": "73647",
"telephone_number": "580-562-3629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITHCARE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-20",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "ROSS",
"authorized_official_middle_name": "AN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-309-2137",
"authorized_official_credential": "DPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE BOARD OF PHARMACY",
"identifier": "33-9816",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burns Flat, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.