NPIMap

Individual provider Active NPI

Troy Simons

  • Pharmacist
  • Perry, OK
National Provider Identifier
1083741383
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12299 Issued in OK
Practice address
328 N 6TH St
Perry, OK 73077-6607
Phone
(580) 336-2136
Fax
(580) 336-9445
NPI assigned
Feb 27, 2007
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12299 OK Primary

Addresses

Primary practice location

328 N 6TH St
Perry, OK 73077-6607

Mailing address

616 N Rock CT
Stillwater, OK 74075-8817
Phone (405) 372-4882

Other identifiers 1

IdentifierTypeStateIssuer
12299OtherOKOKLAHOMA PHARMACY #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12299OKMDPharmacist

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1083741383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N ROCK CT",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740758817",
            "telephone_number": "405-372-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N 6TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730776607",
            "telephone_number": "580-336-2136",
            "fax_number": "580-336-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "12299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA PHARMACY #",
            "identifier": "12299",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.