Organization Active NPI

Mustang Drug LLC

Doing business as Mustang Drug

  • Community/Retail Pharmacy
  • Mustang, OK
National Provider Identifier
1235688060
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MUSTANG DRUG LLC
Doing business as
Mustang Drug
Practice address
103 E State Highway 152
Mustang, OK 73064-4406
Phone
(405) 256-0555
Fax
(405) 256-0565
NPI assigned
Sep 21, 2016
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Clark Bishop Jr.NPI 1972074284
Title
Co-Owner/Manager
Phone
(405) 824-2525

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

103 E State Highway 152
Mustang, OK 73064-4406

Mailing address

103 E State Highway 152
Mustang, OK 73064-4406
Phone (405) 256-0555

Other identifiers 2

IdentifierTypeStateIssuer
2164331OtherPK
200682900AMedicaidOK

Other names 1

  • Mustang Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20170802002611 OK Part B Supplier - Mass Immunization (Roster Biller Only) 9032480595 Practice locations: Mustang, OK
O20190828002526 OK DME Supplier - Pharmacy 9032480595 Practice locations: Mustang, OK
O20211221000305 OK Part B Supplier - Independent Clinical Laboratory 9032480595 Practice locations: Mustang, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mustang Drug103 E State Highway 152, Mustang, OK 73064-4406(405) 256-0555 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 17, 2017

National Provider Directory

National Provider Directory

Locations

103 E State Highway 152
Mustang, OK 73064
Phone (405) 256-0555

Practitioners & affiliated clinicians

Practitioners 3

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": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1235688060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E STATE HIGHWAY 152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644406",
            "telephone_number": "405-256-0555",
            "fax_number": "405-256-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E STATE HIGHWAY 152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644406",
            "telephone_number": "405-256-0555",
            "fax_number": "405-256-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "405-824-2525",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164331",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200682900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mustang Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mustang Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.