Elk City RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

35-5899 Issued in OK

Legal business name

ELK CITY RX INC

Doing business as

Grandview Pharmacy

Practice address

1503 W 3Rd St
Elk City, OK 73644-5111

Phone

(580) 225-5550

Fax

(580) 225-6658

NPI assigned

Oct 28, 2005

Last updated

Jun 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colby Brewster, PHARMD

Title

Pic

Phone

(580) 225-5550

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• GRANDVIEW PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Elk City RX Inc

  dba Grandview Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Elk City, OK
  • NPI 1669648002

  2163628256

  Same PAC ID

Tax ID family

Elk City RX Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Elk City RX Inc

  dba Grandview Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Elk City, OK
  • NPI 1669648002
  NPD tax ID

Locations

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.

• Shanna Marie Simmons

  • Pharmacist
  • Norman, OK
  • NPI 1861082760
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1235120312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480370",
            "telephone_number": "580-225-5550",
            "fax_number": "580-225-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445111",
            "telephone_number": "580-225-5550",
            "fax_number": "580-225-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK CITY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "COLBY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "580-225-5550",
        "authorized_official_credential": "PHARMD"
    },
    "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": "35-5899",
            "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": "200126890A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074429",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANDVIEW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRANDVIEW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elk City Comforting Hands Hospice LLC
• Elk City Dental Group PLLC
• Elk City Eye Care PLLC
• Elk City Nursing Home LLC (elk city nursing center)
• Elk City Pubic Schools
• Elk City RX Inc (Grandview Pharmacy)
• Elk City Surgical Center
• Elk City United Drug
• Elk Creek Dental Center, PLLC
• Elkwood Senior Living Center, LLC

• Community/Retail Pharmacy in Elk City, OK
• Providers in Elk City, 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 Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.