Canadian Valley RX, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26-8078 Issued in OK

Legal business name

CANADIAN VALLEY RX, INC.

Doing business as

Canadian Valley Pharmacy

Practice address

1605 W. Elm Street
El Reno, OK 73036

Phone

(405) 262-4154

Fax

(405) 262-0912

NPI assigned

Aug 9, 2006

Last updated

Jun 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Thomas Smith, PHAMDNPI 1710458831

Title

Owner

Phone

(405) 262-4154

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• CANADIAN VALLEY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Locations

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.

• John Thomas Smith, PHARM.D.

  • Community/Retail Pharmacy
  • El Reno, OK
  • NPI 1710458831
  NPD Authorized official
• Jacoby Gray, PHARD

  • Pharmacist
  • El Reno, OK
  • NPI 1003432337
  NPD (past)
• Barry Neil Smith, D.PH.

  • Pharmacist
  • El Reno, OK
  • NPI 1447260351
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1265442164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 W ELM ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364261",
            "telephone_number": "405-262-4154",
            "fax_number": "405-262-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W. ELM STREET",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "73036",
            "telephone_number": "405-262-4154",
            "fax_number": "405-262-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANADIAN VALLEY RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-262-4154",
        "authorized_official_credential": "PHAMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "26-8078",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100803650B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100803650C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072539",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANADIAN VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CANADIAN VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shalyn Marie May Cagle
• Canadian County
• Canadian County Children's Justice Center
• Canadian Valley Clinic Inc
• Canadian Valley Dentistry PLLC
• Carder Chiropractic Clinic, Inc.
• Lacey Ranay Carder, DC
• Otto Arthur Cargill, MFT ADC
• Robert Saul Castro, M.D.
• Elizabeth Catagas

• Community/Retail Pharmacy in El Reno, OK
• Providers in El Reno, 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 Jun 24, 2026; 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.