Lone Grove Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LONE GROVE PHARMACY LLC

Doing business as

Lone Grove Pharmacy

Practice address

45 Almond Dr
Ardmore, OK 73401-2405

Phone

(405) 301-7681

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Elmer Gene Humphreys III, D.PH.NPI 1770178824

Title

Owner

Phone

(405) 301-7681

Specialties & licenses 1

Addresses

Other names 1

• Lone Grove Pharmacy Doing business as

Locations

Practitioners 1

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

• Elmer Gene Humphreys III, PHARM D.

  • Pharmacist
  • Ardmore, OK
  • NPI 1770178824
  NPD Authorized official

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1174179154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 TRAVERTINE APT 722",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015594",
            "telephone_number": "405-301-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ALMOND DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012405",
            "telephone_number": "405-301-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE GROVE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-301-7681",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Grove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaely Lindsay, LPC-CANDIDATE
• Eugene Allen Litteken, DDS
• Cooper Little
• Meghann Lodes, APRN, NP-C
• Serinity Marie Lomshek
• Vance Allen Long, D.C.
• Betsie Lopez
• Jonathan Curtis Lords, DDS
• David Lee Loughridge
• Frelyn G Loughridge, APRN-CNP

• Community/Retail Pharmacy in Ardmore, OK
• Providers in Ardmore, 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 14, 2019; 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.