Organization Active NPI

Heads Pharmacy Inc

Doing business as Heads Pharmacy

  • Community/Retail Pharmacy
  • Stigler, OK
National Provider Identifier
1144327081
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
581614 Issued in OK
Legal business name
HEADS PHARMACY INC
Doing business as
Heads Pharmacy
Practice address
501 NW H St
Stigler, OK 74462-1627
Phone
(918) 967-8877
Fax
(918) 967-8211
NPI assigned
Sep 20, 2006
Last updated
Jul 2, 2014By the provider in NPPES
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
Larry Godfrey
Title
President
Phone
(918) 967-8877

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 581614 OK Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

501 NW H St
Stigler, OK 74462-1627

Mailing address

501 NW H St
Stigler, OK 74462-1627
Phone (918) 967-8877

Other identifiers 2

IdentifierTypeStateIssuer
2073257OtherPK
100236010AMedicaidOK

Other names 1

  • HEADS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

501 NW H St
Stigler, OK 74462
Phone (918) 967-8877

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1144327081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW H ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621627",
            "telephone_number": "918-967-8877",
            "fax_number": "918-967-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW H ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621627",
            "telephone_number": "918-967-8877",
            "fax_number": "918-967-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-967-8877"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "581614",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073257",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEADS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stigler, 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.