Active NPI
Lassiter Enterprises Inc
- Community/Retail Pharmacy
- Del City, OK
National Provider Identifier
1073679346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3724449 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 100243280A | Medicaid | OK |
Other names 1
- COMFORT CARE PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Del City, OK
- NPI 1952872954
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.