NPIMap

Organization Active NPI

Texoma Medical Service, Inc.

Doing business as Western Drug #5

  • Community/Retail Pharmacy
  • Seiling, OK
National Provider Identifier
1174768774
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
705362 Issued in OK
Legal business name
TEXOMA MEDICAL SERVICE, INC.
Doing business as
Western Drug #5
Practice address
908 N.W. Highway 270
Ste. a
Seiling, OK 73663
Phone
(580) 922-4403
Fax
(580) 922-4405
NPI assigned
Dec 10, 2008
Last updated
Jun 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Micah Cole, PHDNPI 1497318240
Title
Pharmacist
Phone
(580) 922-4403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 705362 OK Primary

Addresses

Primary practice location

908 N.W. Highway 270
Ste. a
Seiling, OK 73663

Mailing address

PO Box 236
Taloga, OK 73667-0236
Phone (580) 328-5208

Other identifiers 2

IdentifierTypeStateIssuer
2118541OtherPK
100846370OMedicaidOK

Other names 1

  • Western Drug #5 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Texoma Medical Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 1

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1174768774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "TALOGA",
            "state": "OK",
            "postal_code": "736670236",
            "telephone_number": "580-328-5208",
            "fax_number": "580-328-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N.W. HIGHWAY 270",
            "address_2": "STE. A",
            "city": "SEILING",
            "state": "OK",
            "postal_code": "73663",
            "telephone_number": "580-922-4403",
            "fax_number": "580-922-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA MEDICAL SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "580-922-4403",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "705362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118541",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100846370O",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Drug #5",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Drug #5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seiling, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.