Carters Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

75681 Issued in OK

Legal business name

CARTERS DRUG INC

Practice address

1400 SE 4TH St Ste E
Moore, OK 73160-7328

Phone

(405) 735-9600

Fax

(405) 735-8923

NPI assigned

Apr 4, 2011

Organization subpart

No

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

Authorized official

Name

Jeff McDown

Title

Pharmacist in Charge

Phone

(405) 799-7400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carter's Drug 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.

• Randall Allen Carter, PA-C

  • Medical Physician Assistant
  • Tampa, FL
  • NPI 1073559373
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1194014704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SE 4TH ST",
            "address_2": "SUITE E",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607329",
            "telephone_number": "405-799-7400",
            "fax_number": "405-799-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE 4TH ST STE E",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607328",
            "telephone_number": "405-735-9600",
            "fax_number": "405-735-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERS DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "MCDOWN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "405-799-7400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "75681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129952",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200332400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carter's Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dee Carpenter, MS CCC-SLP
• Micheal Carrington
• Karen Denise Carroll, RN
• Alisha S Carson
• Aaron Marcell Carter, M.DIV
• Carters Drug Inc,
• Mide Kate Cassaday
• Chaz Tyler Castell
• Christina Marie Castillo, LPC
• Roseanna Castro, BCBA

• Community/Retail Pharmacy in Moore, OK
• Providers in Moore, 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 Apr 3, 2015; 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.