Active NPI
Veritas Properties LLC
Doing business as Main Street Drug
- Long Term Care Pharmacy
- Wilburton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- VERITAS PROPERTIES LLC
- Doing business as
- Main Street Drug
- Practice address
- 225 W Main St Ste 1
Wilburton, OK 74578-4045 - Phone
- (918) 465-9300
- Fax
- (918) 465-9303
- NPI assigned
- Feb 18, 2019
- Last updated
- Feb 18, 2019
- 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
- Darren Tidwell
- Title
- Manager
- Phone
- (918) 465-9300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
225 W Main St Ste 1
Wilburton, OK 74578-4045
Mailing address
225 W Main St Ste 1
Wilburton, OK 74578-4045
Phone (918) 465-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200081170A | Medicaid | OK |
Other names 1
- Main Street Drug
National Provider Directory
National Provider Directory- Tax ID family
- Veritas Properties LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
225 W Main St
Ste 1
Wilburton, OK 74578
Phone (918) 465-9300
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.
-
- Pharmacist
- Wilburton, OK
- NPI 1346478765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550448000000",
"number": "1093271769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W MAIN ST STE 1",
"city": "WILBURTON",
"state": "OK",
"postal_code": "745784045",
"telephone_number": "918-465-9300",
"fax_number": "918-465-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W MAIN ST STE 1",
"city": "WILBURTON",
"state": "OK",
"postal_code": "745784045",
"telephone_number": "918-465-9300",
"fax_number": "918-465-9303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERITAS PROPERTIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-18",
"last_updated": "2019-02-18",
"status": "A",
"authorized_official_last_name": "TIDWELL",
"authorized_official_first_name": "DARREN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "918-465-9300"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200081170A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Main Street Drug",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wilburton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.