NPIMap

Organization Active NPI

Phillip W & Phyllis J Melton

Doing business as Apache Drug

  • Community/Retail Pharmacy
  • Apache, OK
National Provider Identifier
1043393093
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
203327 Issued in OK
Legal business name
PHILLIP W & PHYLLIS J MELTON
Doing business as
Apache Drug
Practice address
118 E Evans
Apache, OK 73006-9802
Phone
(580) 588-3639
Fax
(580) 588-3638
NPI assigned
Oct 23, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Philip Melton, RPH
Title
Owner
Phone
(405) 247-3081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 203327 OK Primary

Addresses

Primary practice location

118 E Evans
Apache, OK 73006-9802

Mailing address

PO Box 315
Apache, OK 73006-0315
Phone (580) 588-3639

Other names 1

  • APACHE DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Apache Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1043393093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "APACHE",
            "state": "OK",
            "postal_code": "730060315",
            "telephone_number": "580-588-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E EVANS",
            "city": "APACHE",
            "state": "OK",
            "postal_code": "730069802",
            "telephone_number": "580-588-3639",
            "fax_number": "580-588-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP W & PHYLLIS J MELTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-247-3081",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "203327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APACHE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apache, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.