Phillips Drug

Primary specialty

PharmacyTaxonomy code 333600000X

License

5-1102 Issued in OK

Legal business name

PHILLIPS DRUG

Practice address

1925 W Owen K Garriott Rd
Enid, OK 73703-5528

Phone

(580) 402-2342

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Julie Ann Phillips

Title

Owner

Phone

(580) 402-2342

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003967373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035528",
            "telephone_number": "580-402-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035528",
            "telephone_number": "580-402-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-402-2342",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "5-1102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003905981",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Renie Pettibone
• PF Garland SNF Ops, LLC (Garland Road Nursing & Rehab Center)
• Andrea Beth Pfarr
• Pharmcareok of Enid, Inc.
• Pharmcareok of Enid, Inc.
• Julie Ann Phillips, RPH
• Steven Lynn Phillips, DO
• Physicians at Enid Live Well, LLP (Enid Live Well)
• Physicians at Enid Live Well, LLP (Enid Live Well)
• Desiree Mercer Pickner, MSN, RN

• Pharmacy in Enid, OK
• Providers in Enid, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.