D & D Pharmacy Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

D & D PHARMACY INCORPORATED

Practice address

101 W Avenue D
Heavener, OK 74937-3017

Phone

(918) 653-4803

Fax

(918) 653-3520

NPI assigned

Sep 7, 2022

Organization subpart

Yes

Parent organization

D & D PHARMACY INCORPORATEDAs reported in NPPES

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

Authorized official

Name

Doug E Horne

Title

Owner

Phone

(918) 721-9536

Specialties & licenses 1

Addresses

Other names 1

• D&D Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• D & D Pharmacy Incorporated

  • Community/Retail Pharmacy
  • Poteau, OK
  • NPI 1861573016

  O20120208000574

  Same enrollment

Tax ID family

DD Pharmacy Incorporated3 organizations share this tax ID, including this one

Part of

DD Pharmacy Incorporated

Other organizations with this tax ID 2

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

• D & D Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Poteau, OK
  • NPI 1003033507
  NPD tax ID
• D & D Pharmacy Incorporated

  • Community/Retail Pharmacy
  • Poteau, OK
  • NPI 1861573016
  NPD tax ID

Locations

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1235850421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W AVENUE D",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749373017",
            "telephone_number": "918-653-4803",
            "fax_number": "918-653-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W AVENUE D",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749373017",
            "telephone_number": "918-653-4803",
            "fax_number": "918-653-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & D PHARMACY INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D & D PHARMACY INCORPORATED",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-721-9536"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D&D Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremiah Mathew Cozby I
• Allison Craig, CCC-SLP
• Jessica Faye Craig
• Creoks Mental Health Services, Inc
• Creoks Mental Health Services, Inc
• Keni Deatherage, BA, BHRS
• Kelly Divine
• Ashley Paige Donathan
• Elizabeth Dorsey, DNP
• Deborah J Dow

• Community/Retail Pharmacy in Heavener, OK
• Providers in Heavener, 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 Sep 7, 2022; 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.