Active NPI
Medicine Chest Pharmacy Co
- Pharmacist
- El Reno, OK
National Provider Identifier
1144328956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- OKLA7497
- Legal business name
- MEDICINE CHEST PHARMACY CO
- Practice address
- 201 S Bickford Ave
El Reno, OK 73036-5600 - Phone
- (405) 262-1222
- Fax
- (405) 262-0033
- NPI assigned
- Sep 20, 2006
- 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
- Mr. Willard Dean Holsted, DPH
- Title
- Pres & Owner
- Phone
- (405) 262-1835
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | OKLA7497 | OK | Primary |
Addresses
Primary practice location
201 S Bickford Ave
El Reno, OK 73036-5600
Mailing address
201 S Bickford Ave
El Reno, OK 73036-5600
Phone (405) 262-1222
National Provider Directory
National Provider DirectoryLocations
201 S Bickford Ave
El Reno, OK 73036
Phone (405) 262-1222
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": "1202169600000",
"number": "1144328956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S BICKFORD AVE",
"city": "EL RENO",
"state": "OK",
"postal_code": "730365600",
"telephone_number": "405-262-1222",
"fax_number": "405-262-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S BICKFORD AVE",
"city": "EL RENO",
"state": "OK",
"postal_code": "730365600",
"telephone_number": "405-262-1222",
"fax_number": "405-262-0033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE CHEST PHARMACY CO",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "HOLSTED",
"authorized_official_first_name": "WILLARD",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "PRES & OWNER",
"authorized_official_telephone_number": "405-262-1835",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "OK",
"license": "OKLA7497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.