Organization Active NPI

Lassiter Enterprises Inc

  • Community/Retail Pharmacy
  • Del City, OK
National Provider Identifier
1073679346
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LASSITER ENTERPRISES INC
Practice address
3001 S Mansfield Ave
Del City, OK 73115-1425
Phone
(405) 619-3736
Fax
(405) 619-3739
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
John Lassiter, RPH
Title
Manager and Owner
Phone
(405) 619-3736

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X 14953 OK

Addresses

Primary practice location

3001 S Mansfield Ave
Del City, OK 73115-1425

Mailing address

PO Box 15330
Oklahoma City, OK 73155-5330
Phone (405) 619-3736

Other identifiers 2

IdentifierTypeStateIssuer
3724449OtherNCPDP PROVIDER IDENTIFICATION NUMBER
100243280AMedicaidOK

Other names 1

  • COMFORT CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3001 S Mansfield Ave
Del City, OK 73115
Phone (405) 619-3736

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1073679346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15330",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731555330",
            "telephone_number": "405-619-3736",
            "fax_number": "405-619-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S MANSFIELD AVE",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151425",
            "telephone_number": "405-619-3736",
            "fax_number": "405-619-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASSITER ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER AND OWNER",
        "authorized_official_telephone_number": "405-619-3736",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "14953",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3724449",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMFORT CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMFORT CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.