NPIMap

Organization Active NPI

Dielrx

Doing business as Family Pharmacy #3

  • Community/Retail Pharmacy
  • Enid, OK
National Provider Identifier
1043531734
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5-5533 Issued in OK
Legal business name
DIELRX
Doing business as
Family Pharmacy #3
Practice address
221 S 30TH St
Enid, OK 73701-6455
Phone
(580) 237-3801
NPI assigned
Jun 16, 2010
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5-5533 OK Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

221 S 30TH St
Enid, OK 73701-6455

Mailing address

915 E Owen K Garriott Rd
Enid, OK 73701-6156
Phone (580) 233-4244

Other identifiers 2

IdentifierTypeStateIssuer
200201750CMedicaidOK
2125454OtherPK

Other names 1

  • Family Pharmacy #3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dielrx2 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.

  • Dielrx

    dba Heritage Pharmacy II

    • Community/Retail Pharmacy
    • Hennessey, OK
    • NPI 1033561659
    NPD tax ID

Locations

221 S 30th St
Enid, OK 73701
Phone (580) 237-3801

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": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1043531734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016156",
            "telephone_number": "580-233-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S 30TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016455",
            "telephone_number": "580-237-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIELRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "5-5533",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200201750C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125454",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.