Organization Active NPI

William W Baker

Doing business as Comanche Pharmacy

  • Community/Retail Pharmacy
  • Comanche, OK
National Provider Identifier
1023138674
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
135257 Issued in OK
Legal business name
WILLIAM W BAKER
Doing business as
Comanche Pharmacy
Practice address
211 Main Ave
Comanche, OK 73529-1443
Phone
(580) 439-8846
Fax
(580) 439-8846
NPI assigned
Mar 29, 2007
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Bill Baker, RPH
Title
Owner and RPH
Phone
(580) 439-8846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 135257 OK Primary

Addresses

Primary practice location

211 Main Ave
Comanche, OK 73529-1443

Mailing address

211 Main Ave
Comanche, OK 73529-1443
Phone (580) 439-8846

Other identifiers 2

IdentifierTypeStateIssuer
200125600AMedicaidOK
2073599OtherPK

Other names 1

  • COMANCHE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

211 Oak Main Ave
Comanche, OK 73529
Phone (580) 439-8846

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1023138674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MAIN AVE",
            "city": "COMANCHE",
            "state": "OK",
            "postal_code": "735291443",
            "telephone_number": "580-439-8846",
            "fax_number": "580-439-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MAIN AVE",
            "city": "COMANCHE",
            "state": "OK",
            "postal_code": "735291443",
            "telephone_number": "580-439-8846",
            "fax_number": "580-439-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM W BAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER AND RPH",
        "authorized_official_telephone_number": "580-439-8846",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "135257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200125600A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073599",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMANCHE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Comanche, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.