Organization Active NPI

Chouteau Family Pharmacy, LLC

Doing business as Chouteau Family Pharmacy

  • Community/Retail Pharmacy
  • Chouteau, OK
National Provider Identifier
1083169544
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHOUTEAU FAMILY PHARMACY, LLC
Doing business as
Chouteau Family Pharmacy
Practice address
214 N Chouteau Ave
Chouteau, OK 74337-3242
Phone
(918) 476-6455
Fax
(918) 476-6966
NPI assigned
Aug 24, 2016
Last updated
May 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Paul Andrew Turner
Title
Member / Pharmacist
Phone
(918) 543-8777

Specialties & licenses 1

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

Addresses

Primary practice location

214 N Chouteau Ave
Chouteau, OK 74337-3242

Mailing address

PO Box 700
Inola, OK 74036-0700
Phone (918) 543-8777

Other identifiers 1

IdentifierTypeStateIssuer
200673910AMedicaidOK

Other names 1

  • CHOUTEAU FAMILY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180509001319 OK Part B Supplier - Mass Immunization (Roster Biller Only) 1456615939 Practice locations: Chouteau, OK

National Provider Directory

National Provider Directory

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": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1083169544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "INOLA",
            "state": "OK",
            "postal_code": "740360700",
            "telephone_number": "918-543-8777",
            "fax_number": "918-543-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CHOUTEAU AVE",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743373242",
            "telephone_number": "918-476-6455",
            "fax_number": "918-476-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOUTEAU FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MEMBER / PHARMACIST",
        "authorized_official_telephone_number": "918-543-8777"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200673910A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOUTEAU FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHOUTEAU FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chouteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.