Organization Active NPI

Reliable Discount Pharmacy Inc

  • Community/Retail Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1134212566
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13893 Issued in OK
Legal business name
RELIABLE DISCOUNT PHARMACY INC
Doing business as
Reliable Discount Pharmacy Inc
Practice address
5900 S Pennsylvania Ave Ste a
Oklahoma City, OK 73119-7029
Phone
(405) 681-6631
Fax
(405) 681-4425
NPI assigned
Sep 30, 2006
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Doug Sisemore, PHARMACIST
Title
Owner
Phone
(405) 681-6631

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 13893 OK Primary

Addresses

Primary practice location

5900 S Pennsylvania Ave Ste a
Oklahoma City, OK 73119-7029

Mailing address

5900 S Pennsylvania Ave Ste a
Oklahoma City, OK 73119-7029
Phone (405) 681-6631

Other identifiers 3

IdentifierTypeStateIssuer
2081577OtherPK
90003927027MedicaidOK
100243320AMedicaidOK

Other names 1

  • RELIABLE DISCOUNT PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

5900 S Pennsylvania Ave
Ste A
Oklahoma City, OK 73119
Phone (405) 681-6631

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1134212566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 S PENNSYLVANIA AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197029",
            "telephone_number": "405-681-6631",
            "fax_number": "405-681-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 S PENNSYLVANIA AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197029",
            "telephone_number": "405-681-6631",
            "fax_number": "405-681-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "SISEMORE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-681-6631",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "13893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081577",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003927027",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RELIABLE DISCOUNT PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.