Organization Active NPI

Onesource LLC

  • Community/Retail Pharmacy
  • Tuttle, OK
National Provider Identifier
1194241430
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18-7966 Issued in OK
Legal business name
ONESOURCE LLC
Practice address
100 Don Williams Ave
Ste 100
Tuttle, OK 74730
Phone
(580) 980-2190
Fax
(405) 689-6045
NPI assigned
Aug 18, 2017
Last updated
Jun 16, 2018By the provider in NPPES
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
Tony David HudginsNPI 1346957529
Title
President
Phone
(580) 980-2190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 18-7966 OK Primary

Addresses

Primary practice location

100 Don Williams Ave
Ste 100
Tuttle, OK 74730

Mailing address

31 Liberty St
Calera, OK 74730-5519

National Provider Directory

National Provider Directory
Tax ID family
Onesource3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

100 Williams Ave
#100
Tuttle, OK 73089
Phone (580) 980-2190

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": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1194241430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LIBERTY ST",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747305519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DON WILLIAMS AVE",
            "address_2": "STE 100",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "74730",
            "telephone_number": "580-980-2190",
            "fax_number": "405-689-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONESOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HUDGINS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-980-2190"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "18-7966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuttle, 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.