Active NPI
Lee's Pharmacy
- Community/Retail Pharmacy
- Ada, OK
National Provider Identifier
1245390400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 233836
- Legal business name
- LEE'S PHARMACY
- Practice address
- 1201 Arlington St
Ada, OK 74820-4072 - Phone
- (580) 332-4455
- Fax
- (580) 332-4738
- NPI assigned
- Dec 11, 2006
- 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
- Mr. Lee Allen Ross, DPH
- Title
- Pharmacist
- Phone
- (580) 332-4455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 233836 | OK | Primary |
Addresses
Primary practice location
1201 Arlington St
Ada, OK 74820-4072
Mailing address
1201 Arlington St
Ada, OK 74820-4072
Phone (580) 332-4455
National Provider Directory
National Provider Directory- Tax ID family
- Lee's Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245390400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 ARLINGTON ST",
"city": "ADA",
"state": "OK",
"postal_code": "748204072",
"telephone_number": "580-332-4455",
"fax_number": "580-332-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 ARLINGTON ST",
"city": "ADA",
"state": "OK",
"postal_code": "748204072",
"telephone_number": "580-332-4455",
"fax_number": "580-332-4738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE'S PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "580-332-4455",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "233836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- 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.