Organization Active NPI

Med-Econ Drug Inc

Doing business as Med-Econ Drug

  • Community/Retail Pharmacy
  • Weleetka, OK
National Provider Identifier
1225111271
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
515055 Issued in OK
Legal business name
MED-ECON DRUG INC
Doing business as
Med-Econ Drug
Practice address
311 W 9TH St
Weleetka, OK 74880-9801
Phone
(405) 786-2246
Fax
(405) 786-2409
NPI assigned
Oct 23, 2006
Last updated
Oct 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Dr. Guy ShenemanNPI 1588767867
Title
Ceo and Dr of Phcy
Phone
(405) 786-2246

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 515055 OK Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

311 W 9TH St
Weleetka, OK 74880-9801

Mailing address

PO Box 758
Weleetka, OK 74880-0758
Phone (405) 786-2246

Other identifiers 3

IdentifierTypeStateIssuer
100236520AMedicaidOK
3713282OtherOTHER ID NUMBER
3713282OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MED-ECON DRUG Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1225111271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "WELEETKA",
            "state": "OK",
            "postal_code": "748800758",
            "telephone_number": "405-786-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 9TH ST",
            "city": "WELEETKA",
            "state": "OK",
            "postal_code": "748809801",
            "telephone_number": "405-786-2246",
            "fax_number": "405-786-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-ECON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "SHENEMAN",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "CEO AND DR OF PHCY",
        "authorized_official_telephone_number": "405-786-2246",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "515055",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236520A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3713282",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3713282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-ECON DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weleetka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.