Active NPI
Skinner Pharmacies Inc
- Community/Retail Pharmacy
- Elk City, OK
National Provider Identifier
1235546565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 35-6773
- Legal business name
- SKINNER PHARMACIES INC
- Practice address
- 809 North Main Street
Elk City, OK 73644-4751 - Phone
- (580) 225-2121
- Fax
- (580) 225-4216
- NPI assigned
- Jul 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Earl Osborn
- Title
- VP
- Phone
- (918) 542-4444
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 35-6773 | OK | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
809 North Main Street
Elk City, OK 73644-4751
Mailing address
809 North Main Street
Elk City, OK 73644-4751
Phone (580) 225-3263
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200545540B | Medicaid | OK | |
| 2146917 | Other | PK | |
| 35-8947 | Other | OK | PHARMACY LICENSE |
| 200545540A | Medicaid | OK |
Other names 1
- Paul Jones Drug
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Pioneer |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151026002873 | OK | DME Supplier - Pharmacy | 3971812371 | Practice locations: Elk City, OK |
| O20151029000212 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 3971812371 |
1 other NPI on this enrollment Practice locations: Bethany, OK; Elk City, OK |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Skinner Pharmacies Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Elk City, OK
- NPI 1023716438
-
- Community/Retail Pharmacy
- Bethany, OK
- NPI 1306677026
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
105 N Main St
Elk City, OK 73644
Phone (580) 225-2121
809 N Main St
Elk City, OK 73644
Phone (580) 225-2121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1235546565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 NORTH MAIN STREET",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736444751",
"telephone_number": "580-225-3263",
"fax_number": "580-225-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 NORTH MAIN STREET",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736444751",
"telephone_number": "580-225-2121",
"fax_number": "580-225-4216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKINNER PHARMACIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-18",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A",
"authorized_official_last_name": "OSBORN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "918-542-4444"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "35-6773",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200545540B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2146917",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "35-8947",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200545540A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pioneer",
"affiliation": "N",
"address_1": "809 North Main Street",
"city": "Elk City",
"state": "OK",
"country_code": "US",
"postal_code": "736444751",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Paul Jones Drug",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Paul Jones Drug",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elk City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.