NPIMap

Organization Active NPI

Foster Corner Drug Long Term Care

  • Long Term Care Pharmacy
  • Perry, OK
National Provider Identifier
1093362337
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FOSTER CORNER DRUG LONG TERM CARE
Doing business as
Foster Corner Drug Long Term Care
Practice address
328 N 6TH St
Perry, OK 73077-6607
Phone
(580) 336-2136
Fax
(580) 336-9445
NPI assigned
Aug 21, 2019
Last updated
Oct 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Troy SimonsNPI 1083741383
Title
President
Phone
(405) 372-4882

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X NU Primary
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

328 N 6TH St
Perry, OK 73077-6607

Mailing address

328 N 6TH St
Perry, OK 73077-6607
Phone (580) 336-2136

Other identifiers 1

IdentifierTypeStateIssuer
100232570AMedicaidOK

Other names 1

  • Foster Corner Drug Long Term Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@fcdrug.com

National Provider Directory

National Provider Directory
Tax ID family
Foster Specialty5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

328 N 6th St
Perry, OK 73077
Phone (580) 336-2136

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": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1093362337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "FOSTER CORNER DRUG LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-372-4882"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232570A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@fcdrug.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "328 N 6th St",
            "city": "Perry",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730776607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Foster Corner Drug Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 2020; 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.