McCortney Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

23-5978 Issued in OK

Legal business name

MCCORTNEY DRUG INC

Doing business as

McCortneys Family Pharmacy

Practice address

711 E 9TH St
Ada, OK 74820-3807

Phone

(580) 332-3344

Fax

(580) 332-3616

NPI assigned

Oct 26, 2006

Last updated

Jan 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brock Harris

Title

Vice President

Phone

(580) 332-3344

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MCCORTNEYS FAMILY PHARMACY Doing business as

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1083799373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E 9TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203807",
            "telephone_number": "580-332-3344",
            "fax_number": "580-332-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E 9TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203807",
            "telephone_number": "580-332-3344",
            "fax_number": "580-332-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORTNEY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "580-332-3344"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "23-5978",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073507",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCORTNEYS FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• McCortney Family Home Health, Inc (McCortney Family In-home Care)
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• McCortney Family Hospice, Inc
• Tera L McCullar, BA
• Carol McDaniel, DDS

• Community/Retail Pharmacy in Ada, OK
• Providers in Ada, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.