NPIMap

Organization Active NPI

Medical Center Pharmacy of Durant, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Durant, OK
National Provider Identifier
1184671968
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
27-S-781 Issued in OK
Legal business name
MEDICAL CENTER PHARMACY OF DURANT, INC.
Practice address
1026 Radio Rd
Durant, OK 74701-2991
Phone
(580) 924-2626
Fax
(580) 924-5171
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Greg W Seay, PHD
Title
President
Phone
(580) 924-7425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 27-S-781 OK Primary

Addresses

Primary practice location

1026 Radio Rd
Durant, OK 74701-2991

Mailing address

1026 Radio Rd
Durant, OK 74701-2991
Phone (580) 924-2626

Other names 1

  • ADVANCED CARE MEDICAL EQUIIPMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930040398 OK DME Supplier - PharmacyDME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Orthotic Personnel 5597885137 Practice locations: Durant, OK
O20101027000733 OK Part B Supplier - Pharmacy 5597885137 Practice locations: Durant, OK

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Medical Ctr Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

111 N Commerce St
Ste B
Ardmore, OK 73401

1026 Radio Rd
Durant, OK 74701
Phone (580) 924-2626

220 W Main St
Tishomingo, OK 73460

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184671968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 RADIO RD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012991",
            "telephone_number": "580-924-2626",
            "fax_number": "580-924-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 RADIO RD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012991",
            "telephone_number": "580-924-2626",
            "fax_number": "580-924-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY OF DURANT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-924-7425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OK",
            "license": "27-S-781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED CARE MEDICAL EQUIIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.