Toni's Westside Rexall Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

62133 Issued in OK

Legal business name

TONI'S WESTSIDE REXALL INC

Doing business as

Tonis Westside Rexall Inc
Toni's Westside Healthmart

Practice address

301 W Grand Ave
Ponca City, OK 74601-5118

Phone

(580) 765-4456

Fax

(580) 765-0668

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Toni K GibsonNPI 1780775502

Title

Owner/Pharmacists

Phone

(580) 765-4456

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 2

• TONIS WESTSIDE REXALL INC Doing business as
• Toni's Westside Healthmart Doing business as

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Toni Kay Gibson, DPH

  • Pharmacist
  • Ponca City, OK
  • NPI 1780775502
  NPD (past) Authorized official
• Shelli Dawn Caldwell

  • Pharmacy Technician
  • Ponca City, OK
  • NPI 1164513040
  NPD
• Mechelle Lynnette Bentley

  • Pharmacy Technician
  • Ponca City, OK
  • NPI 1134210016
  NPD (past)
• Linda Lucille Caygle

  • Pharmacy Technician
  • Ponca City, OK
  • NPI 1982770699
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1164437901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W GRAND AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015118",
            "telephone_number": "580-765-4456",
            "fax_number": "580-765-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W GRAND AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015118",
            "telephone_number": "580-765-4456",
            "fax_number": "580-765-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI'S WESTSIDE REXALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHARMACISTS",
        "authorized_official_telephone_number": "580-765-4456"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "62133",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235620A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073065",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235620B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TONIS WESTSIDE REXALL INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Toni's Westside Healthmart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel C Thomas, HIS
• Nancy Elizabeth Thomason, LPC
• Gail M Thompson
• Johnny R Thompson
• Anthony Tillman, M.S.
• Toni's Westside Rexall Inc
• Traditions Health Care of Ponca City, LLC (Traditions Health of Ponca City)
• Ellen Reeser Trantham, ARNP
• Triad Complete Care, LLC (Triad Complete Healthcare)
• Triad Complete Healthcare Z16 LLC

• Community/Retail Pharmacy in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.