NPIMap

Organization Active NPI

Medical Center Pharmacy of Durant Inc

  • Oxygen Equipment & Supplies (DME)
  • Ada, OK
National Provider Identifier
1265489488
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
23S899 Issued in OK
Legal business name
MEDICAL CENTER PHARMACY OF DURANT INC
Practice address
1201 Arlington
Ada, OK 74820-4072
Phone
(580) 436-6060
Fax
(580) 436-6066
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Mr. Greg W Seay, DPH
Title
President
Phone
(580) 924-7425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 23S899 OK Primary

Addresses

Primary practice location

1201 Arlington
Ada, OK 74820-4072

Mailing address

1026 Radio Rd
Durant, OK 74701-2991
Phone (580) 924-2626

Other identifiers 1

IdentifierTypeStateIssuer
100234540FMedicaidOK

Other names 1

  • ADVANCED CARE MEDICAL EQUIPMENT OF ADA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004523 OK DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Oxygen & EquipmentDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Orthotic Personnel 5597885137 Practice locations: Ada, OK

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Advanced Care Medical Equipment of1201 Arlington St, Ada, OK 74820-4072(580) 436-6060 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Impl… Does not accept assignmentParticipating since Jan 1, 2000

National Provider Directory

National Provider Directory
Tax ID family
Medical Ctr Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1201 Arlington St
Ada, OK 74820
Phone (580) 332-4455

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1265489488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 RADIO RD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012991",
            "telephone_number": "580-924-2626",
            "fax_number": "580-924-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARLINGTON",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204072",
            "telephone_number": "580-436-6060",
            "fax_number": "580-436-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY OF DURANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-924-7425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OK",
            "license": "23S899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234540F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED CARE MEDICAL EQUIPMENT OF ADA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2012; 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.