Organization Active NPI

Paul Jones Drug Inc

  • Community/Retail Pharmacy
  • Elk City, OK
National Provider Identifier
1124024740
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
35-4667 Issued in OK
Legal business name
PAUL JONES DRUG INC
Practice address
105 N Main St
Elk City, OK 73644-4751
Phone
(580) 225-3263
Fax
(580) 225-4216
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Gina Meador, RPHNPI 1275539991
Title
Owner
Phone
(580) 225-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 35-4667 OK Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

105 N Main St
Elk City, OK 73644-4751

Mailing address

PO Box 467
Elk City, OK 73648-0467
Phone (580) 225-2121

Other identifiers 2

IdentifierTypeStateIssuer
100233090AMedicaidOK
2072774OtherPK

Other names 1

  • PAUL JONES DRUG Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1124024740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480467",
            "telephone_number": "580-225-2121",
            "fax_number": "580-225-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444751",
            "telephone_number": "580-225-3263",
            "fax_number": "580-225-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL JONES DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "MEADOR",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-225-2121",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "35-4667",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233090A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072774",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAUL JONES DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.