Organization Active NPI

Midtown Drug

  • Community/Retail Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1043956832
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MIDTOWN DRUG
Doing business as
Midtown Drug
Practice address
525 NW 11TH St Ste 112
Oklahoma City, OK 73103-2405
Phone
(405) 768-1002
Fax
(888) 626-6036
NPI assigned
May 5, 2022
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Dr. Phong Hoang, PHARMDNPI 1013498385
Title
Owner/Manager
Phone
(405) 768-1002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

525 NW 11TH St Ste 112
Oklahoma City, OK 73103-2405

Mailing address

525 NW 11TH St Ste 112
Oklahoma City, OK 73103-2405
Phone (405) 768-1002

Other identifiers 1

IdentifierTypeStateIssuer
201106790AMedicaidOK

Other names 2

  • Midtown Drug Doing business as
  • Midtown Drug, LLC Other name

National Provider Directory

National Provider Directory

Locations

525 NW 11th St
Ste 112
Oklahoma City, OK 73103
Phone (405) 414-6672

Practitioners & affiliated clinicians

Practitioners 1

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": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1043956832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NW 11TH ST STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032405",
            "telephone_number": "405-768-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NW 11TH ST STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032405",
            "telephone_number": "405-768-1002",
            "fax_number": "888-626-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "PHONG",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "405-768-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201106790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midtown Drug, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

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