Dielrx

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55299 Issued in OK

Legal business name

DIELRX

Practice address

2311 W Willow Rd
Enid, OK 73703-2433

Phone

(580) 234-7700

Fax

(580) 234-7731

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Grant Diel

Title

Owner

Phone

(580) 542-3232

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FAMILY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dielrx

  • Community/Retail Pharmacy
  • Enid, OK
  • NPI 1598845000

  O20100930092565

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Robert McDaniel, PHARM.D.

  • Pharmacist
  • Enid, OK
  • NPI 1164808044
  NPD (past)
• Jessica Denise Tarango, PHARMACIST

  • Pharmacist
  • Enid, OK
  • NPI 1942852272
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1013174366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016156",
            "telephone_number": "580-233-4244",
            "fax_number": "580-233-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 W WILLOW RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032433",
            "telephone_number": "580-234-7700",
            "fax_number": "580-234-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIELRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "DIEL",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-542-3232"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "55299",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077201",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200201750B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diagnostic Laboratory of Oklahoma LLC
• Aimee Dickson, LCSW, LCADC
• Kayla Dickson, ATC, LAT
• William D Diehl, OD
• Gregory G Diel, DPH
• Dielrx
• Dielrx
• Sabrina Colleen Dierksen, ATC, LAT
• Morgan Lane Dillard
• Sandra S. Dilldine

• Community/Retail Pharmacy in Enid, OK
• Providers in Enid, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.