NPIMap

Organization Active NPI

Carters Drug Inc,

  • Pharmacy
  • Moore, OK
National Provider Identifier
1104116508
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
12203 Issued in OK
Legal business name
CARTERS DRUG INC,
Practice address
1400 SE 4TH St
Suite H
Moore, OK 73160
Phone
(405) 799-7400
Fax
(405) 799-7405
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Mr. Randall A Carter, PA-C
Title
Physician Assistant
Phone
(405) 799-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 12203 OK Primary

Addresses

Primary practice location

1400 SE 4TH St
Suite H
Moore, OK 73160

Mailing address

1400 SE 4TH St
Suite H
Moore, OK 73160
Phone (405) 799-7400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1104116508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SE 4TH ST",
            "address_2": "SUITE H",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "73160",
            "telephone_number": "405-799-7400",
            "fax_number": "405-799-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE 4TH ST",
            "address_2": "SUITE H",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "73160",
            "telephone_number": "405-799-7400",
            "fax_number": "405-799-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERS DRUG INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "405-799-7400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "12203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.