NPIMap

Organization Active NPI

Spoon Drugs Inc

  • Community/Retail Pharmacy
  • Sand Springs, OK
National Provider Identifier
1083793756
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-2298 Issued in OK
Legal business name
SPOON DRUGS INC
Doing business as
Spoon Drugs Inc
Practice address
540 Plaza CT
Sand Springs, OK 74063-7915
Phone
(918) 245-9693
Fax
(918) 245-5906
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
William Osborn
Title
Sec/Treas
Phone
(918) 542-4444

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-2298 OK Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

540 Plaza CT
Sand Springs, OK 74063-7915

Mailing address

540 Plaza CT
Sand Springs, OK 74063-7915
Phone (918) 245-9693

Other identifiers 2

IdentifierTypeStateIssuer
100236150AMedicaidOK
2073684OtherPK

Other names 1

  • SPOON DRUGS INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090313000390 OK Part B Supplier - Mass Immunization (Roster Biller Only) 7315924701 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sand Springs, OK
O20100930072977 OK DME Supplier - PharmacyDME Supplier - Orthotic Personnel 7315924701 Practice locations: Sand Springs, OK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Spoon Drug540 Plaza CT, Sand Springs, OK 74063-7915(918) 245-9693 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchair Seating/Cushions|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Oct 27, 2008

National Provider Directory

National Provider Directory
Tax ID family
Spoon Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

540 Plaza Ct
Sand Springs, OK 74063
Phone (918) 245-9693

Practitioners & affiliated clinicians

Practitioners 8

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1083793756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PLAZA CT",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637915",
            "telephone_number": "918-245-9693",
            "fax_number": "918-245-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PLAZA CT",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637915",
            "telephone_number": "918-245-9693",
            "fax_number": "918-245-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOON DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SEC/TREAS",
        "authorized_official_telephone_number": "918-542-4444"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "2-2298",
            "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236150A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073684",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPOON DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sand Springs, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.