Active NPI
Paul Jones Drug Inc
- Community/Retail Pharmacy
- Elk City, OK
National Provider Identifier
1124024740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 35-4667
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina Meador, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100233090A | Medicaid | OK | |
| 2072774 | Other | PK |
Other names 1
- PAUL JONES DRUG
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Elk City, OK
- NPI 1275539991
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.