NPIMap

Organization Active NPI

Medical Center Pharmacy of Durant Inc

Doing business as Advanced Care Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Ardmore, OK
National Provider Identifier
1114974383
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
12-S-969 Issued in OK
Legal business name
MEDICAL CENTER PHARMACY OF DURANT INC
Doing business as
Advanced Care Medical Equipment
Practice address
908 N Rockford Rd
Suite J
Ardmore, OK 73401-2241
Phone
(580) 223-6417
Fax
(580) 223-7376
NPI assigned
May 31, 2006
Last updated
Jun 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Mr. Greg W Seay, DPH
Title
President
Phone
(580) 924-7425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 12-S-969 OK Primary

Addresses

Primary practice location

908 N Rockford Rd
Suite J
Ardmore, OK 73401-2241

Mailing address

1026 Radio Rd
Durant, OK 74701-2991
Phone (580) 924-2626

Other identifiers 1

IdentifierTypeStateIssuer
100234540EMedicaidOK

Other names 1

  • ADVANCED CARE MEDICAL EQUIPMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930073048 OK DME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Pedorthic PersonnelDME Supplier - Oxygen & Equipment 5597885137 Practice locations: Ardmore, OK

Other NPIs with the same Medicare PAC ID 3

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

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
Advanced Care Medical Equipment908 N Rockford Rd, Ardmore, OK 73401-2541(580) 223-6471 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Ins… Does not accept assignmentParticipating since Jan 1, 2000

National Provider Directory

National Provider Directory
Tax ID family
Medical Center Pharmacy of Durant Inc5 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

908 N Rockford Rd
Ste J
Ardmore, OK 73401
Phone (580) 223-6417

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1114974383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 RADIO RD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012991",
            "telephone_number": "580-924-2626",
            "fax_number": "580-924-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD",
            "address_2": "SUITE J",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012241",
            "telephone_number": "580-223-6417",
            "fax_number": "580-223-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY OF DURANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-924-7425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OK",
            "license": "12-S-969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234540E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED CARE MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.