Organization Active NPI

Hughes Pharmacy LLC

  • Community/Retail Pharmacy
  • Medford, OK
National Provider Identifier
1194072363
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
64-7984 Issued in OK
Legal business name
HUGHES PHARMACY LLC
Practice address
107 E Cherokee St
Medford, OK 73759-1209
Phone
(580) 395-3116
Fax
(580) 395-3125
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Steven Hughes
Title
Owner/Manager/Ao
Phone
(580) 395-3116

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 646019 OK
Community/Retail Pharmacy 3336C0003X 64-7984 OK Primary

Addresses

Primary practice location

107 E Cherokee St
Medford, OK 73759-1209

Mailing address

107 E Cherokee St
Medford, OK 73759-1209
Phone (580) 395-3116

Other identifiers 2

IdentifierTypeStateIssuer
2136363OtherPK
200447840AMedicaidOK

Other names 1

  • Hughes Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

107 E Cherokee St
Medford, OK 73759
Phone (580) 395-2831

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1194072363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E CHEROKEE ST",
            "city": "MEDFORD",
            "state": "OK",
            "postal_code": "737591209",
            "telephone_number": "580-395-3116",
            "fax_number": "580-395-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E CHEROKEE ST",
            "city": "MEDFORD",
            "state": "OK",
            "postal_code": "737591209",
            "telephone_number": "580-395-3116",
            "fax_number": "580-395-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/MANAGER/AO",
        "authorized_official_telephone_number": "580-395-3116"
    },
    "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": "646019",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "64-7984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136363",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200447840A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hughes Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.