Organization Active NPI

Sanzro LLC

Doing business as S & D Drug

  • Community/Retail Pharmacy
  • Clinton, OK
National Provider Identifier
1174520324
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28-5420 Issued in OK
Legal business name
SANZRO LLC
Doing business as
S & D Drug
Practice address
915 Frisco Ave
Clinton, OK 73601-3324
Phone
(580) 323-2020
Fax
(580) 323-3108
NPI assigned
Jul 1, 2005
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Michael Scott Campbell
Title
Owner
Phone
(580) 323-2020

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28-5420 OK Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

915 Frisco Ave
Clinton, OK 73601-3324

Mailing address

915 Frisco Ave
Clinton, OK 73601-3324
Phone (580) 323-2020

Other identifiers 2

IdentifierTypeStateIssuer
100236080AMedicaidOK
2120362OtherPK

Other names 1

  • S & D Drug Doing business as

National Provider Directory

National Provider Directory

Locations

915 Frisco Ave
Clinton, OK 73601
Phone (580) 323-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1174520324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 FRISCO AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013324",
            "telephone_number": "580-323-2020",
            "fax_number": "580-323-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 FRISCO AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013324",
            "telephone_number": "580-323-2020",
            "fax_number": "580-323-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANZRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MICHAEL SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-323-2020"
    },
    "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": "28-5420",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236080A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & D Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "S & D Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.