Rad RX

Primary specialty

PharmacyTaxonomy code 333600000X

License

9758 Issued in OK

Legal business name

RAD RX

Practice address

10 Liberty LN
Elk City, OK 73644-4810

Phone

(580) 225-5270

NPI assigned

Oct 5, 2015

Last updated

Oct 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger Davis, RPH

Title

Owner

Phone

(580) 225-5270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1063882900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LIBERTY LN",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444810",
            "telephone_number": "580-225-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LIBERTY LN",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444810",
            "telephone_number": "580-225-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAD RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-225-5270",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "9758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia K Price, NP-C
• Tara Price
• Prime Physician Staffing PLLC
• PTMS 3.0, LLC (Physical Therapy Central of Elk City)
• Peggy S Puckett, MS, LPC-CANDIDATE
• Bennett Michael Rader, DPT
• Michael David Rader, M.D.
• Kylee Raelyn Ramirez, APRN-CNP
• Rosanna Rae Ramos
• Sue Ann Raney, A.R.N.P.

• Pharmacy in Elk City, OK
• Providers in Elk City, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.