Preferred Phcy Providers of SE Ok

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

574826 Issued in OK

Legal business name

PREFERRED PHCY PROVIDERS OF SE OK

Practice address

116 E Court St
Atoka, OK 74525-2032

Phone

(580) 889-9191

Fax

(580) 889-9194

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Tony Houff, DPH

Title

Pres

Phone

(580) 889-9191

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225142201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E COURT ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E COURT ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252032",
            "telephone_number": "580-889-9191",
            "fax_number": "580-889-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PHCY PROVIDERS OF SE OK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUFF",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "580-889-9191",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "574826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3723889",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Pierce, LPC
• Rachel Pittman
• Lauren Porter
• Sonya Marie Porter, M.ED
• Jordan Powers, BHCMII
• Private Healthcare Facilities
• Ralph Edward Pruett
• Lindsey Brelynn Pulchny
• Chelsea Ray
• Gina Lucille Redwine, MASTERS

• Community/Retail Pharmacy in Atoka, OK
• Providers in Atoka, 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 Aug 22, 2020; 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.