NPIMap

Organization Active NPI

1St Pharmacy Corporation

Doing business as Lawton Family Pharmacy

  • Community/Retail Pharmacy
  • Lawton, OK
National Provider Identifier
1053649327
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3-5485 Issued in OK
Legal business name
1ST PHARMACY CORPORATION
Doing business as
Lawton Family Pharmacy
Practice address
2702 W Gore Blvd
Lawton, OK 73505-6319
Phone
(580) 353-0760
Fax
(580) 353-1411
NPI assigned
Nov 25, 2009
Last updated
Nov 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Mrs. Janis Carol Nall
Title
President Owner
Phone
(940) 648-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 3-5485 OK Primary

Addresses

Primary practice location

2702 W Gore Blvd
Lawton, OK 73505-6319

Mailing address

2702 W. Gore Boulevard
Lawton, OK 75303
Phone (580) 353-0760

Other identifiers 1

IdentifierTypeStateIssuer
100241550AMedicaidOK

Other names 1

  • LAWTON FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1St Pharmacy Corp2 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.

Locations

2702 W Gore Blvd
Lawton, OK 73505
Phone (580) 353-0760

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1053649327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 W. GORE BOULEVARD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "75303",
            "telephone_number": "580-353-0760",
            "fax_number": "580-353-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056319",
            "telephone_number": "580-353-0760",
            "fax_number": "580-353-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "NALL",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "940-648-5090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "3-5485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100241550A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAWTON FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.