Organization Active NPI

Heartlandrxok, LLC

Doing business as Heartland Pharmacy

  • Community/Retail Pharmacy
  • Meeker, OK
National Provider Identifier
1124537014
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31-8035 Issued in OK
Legal business name
HEARTLANDRXOK, LLC
Doing business as
Heartland Pharmacy
Practice address
501 W Carl Hubbell Blvd
Meeker, OK 74855-9119
Phone
(405) 279-1043
Fax
(405) 279-1058
NPI assigned
Sep 24, 2017
Last updated
Mar 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Mike D Miller
Title
President/Owner
Phone
(405) 659-2784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 31-8035 OK Primary

Addresses

Primary practice location

501 W Carl Hubbell Blvd
Meeker, OK 74855-9119

Mailing address

501 W Carl Hubbell Blvd
Meeker, OK 74855-9119

Other names 1

  • Heartland Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

501 W Carl Hubbell Blvd
Meeker, OK 74855
Phone (405) 279-1043

NPI Registry JSON

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1124537014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W CARL HUBBELL BLVD",
            "city": "MEEKER",
            "state": "OK",
            "postal_code": "748559119",
            "fax_number": "405-279-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W CARL HUBBELL BLVD",
            "city": "MEEKER",
            "state": "OK",
            "postal_code": "748559119",
            "telephone_number": "405-279-1043",
            "fax_number": "405-279-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLANDRXOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-24",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "405-659-2784"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "31-8035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meeker, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.