Pharmcareok of Enid, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054600 Issued in OK

Legal business name

PHARMCAREOK OF ENID, INC.

Doing business as

PharmcareOK of Enid, Inc.

Practice address

1119A E Owen Garriott Rd
Enid, OK 73701

Phone

(580) 242-5252

Fax

(580) 242-1155

NPI assigned

Aug 28, 2013

Organization subpart

No

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

Authorized official

Name

Kent Abbott

Title

President

Phone

(405) 663-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PharmcareOK of Enid, Inc. Doing business as

Tax ID family

Pharmcareok of Enid Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pharmcareok of Enid, Inc.

  • Long Term Care Pharmacy
  • Enid, OK
  • NPI 1134158850
  NPD tax ID

Locations

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1164856944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730480070",
            "telephone_number": "405-663-4111",
            "fax_number": "405-663-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119A E OWEN GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73701",
            "telephone_number": "580-242-5252",
            "fax_number": "580-242-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCAREOK OF ENID, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-663-4111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "054600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmcareOK of Enid, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Petersen, MD
• Donna Renie Pettibone
• PF Garland SNF Ops, LLC (Garland Road Nursing & Rehab Center)
• Andrea Beth Pfarr
• Pharmcareok of Enid, Inc.
• Phillips Drug
• Julie Ann Phillips, RPH
• Steven Lynn Phillips, DO
• Physicians at Enid Live Well, LLP (Enid Live Well)
• Physicians at Enid Live Well, LLP (Enid Live Well)

• Community/Retail Pharmacy in Enid, OK
• Providers in Enid, 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 Aug 28, 2013; 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.