Active NPI
Medkan Pharmacy Inc
Doing business as GC Drug LTC
- Long Term Care Pharmacy
- Medford, OK
National Provider Identifier
1255197034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MEDKAN PHARMACY INC
- Doing business as
- GC Drug LTC
- Practice address
- 107 E Cherokee St
Medford, OK 73759-1209 - Phone
- (580) 395-3116
- NPI assigned
- Feb 28, 2024
- 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
- Jacob Edwards
- Title
- Owner
- Phone
- (580) 395-3116
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
107 E Cherokee St
Medford, OK 73759-1209
Mailing address
PO Box 165
Attica, KS 67009-0165
Other names 1
- GC Drug LTC
National Provider Directory
National Provider Directory- Tax ID family
- GC Drug
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": "1709078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709078400000",
"number": "1255197034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 165",
"city": "ATTICA",
"state": "KS",
"postal_code": "670090165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E CHEROKEE ST",
"city": "MEDFORD",
"state": "OK",
"postal_code": "737591209",
"telephone_number": "580-395-3116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDKAN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-395-3116"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"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": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GC Drug LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Medford, OK
- Integris Bass Baptist Health Center (Integris Health Medical Group Medford)
- Jonathan D. Wren D.C. (Medford Family Chiropractic)
- Kennedy Drug Co
- Medford Public School
- Medkan Pharmacy Inc (GC Drug)
- Michael F Flanagan, Receiver for Medfors Nursing Home (Medford Nursing Home)
- Miller EMS LLC
- Kristina Nelson
- Robertson Health Care LLC (Servant Living Center)
- Servant Living Center - Medford LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.