Okemah Pharmacy Management LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14-7336 Issued in OK

Legal business name

OKEMAH PHARMACY MANAGEMENT LLC

Doing business as

M & D Star Drug

Practice address

108 S Morton Ave
Okmulgee, OK 74447-5022

Phone

(918) 756-1322

Fax

(918) 756-0638

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Elmer Frech

Title

President

Phone

(918) 756-1322

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• M & D Star Drug Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darryl Leon Raley, RPH

  • Pharmacist
  • Okmulgee, OK
  • NPI 1407317332
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1265517551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MORTON AVE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744475022",
            "telephone_number": "918-756-1322",
            "fax_number": "918-756-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MORTON AVE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744475022",
            "telephone_number": "918-756-1322",
            "fax_number": "918-756-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEMAH PHARMACY MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "FRECH",
        "authorized_official_first_name": "ELMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-756-1322"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "14-7336",
            "primary": true
        },
        {
            "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": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154312",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M & D Star Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jearlyn Kay Nick, ARNP
• Jerry Bob Nick, D.D.S
• Kaleb Niles
• Michael O'Brien, DMD
• Penny Ogbonna
• Okmulgee Chiropractic Inc
• Okmulgee Discount Pharmacy, LLC
• Okmulgee Discount Pharmacy, LLC
• Okmulgee Emergency PLLC
• Okmulgee Memorial Hospital

• Community/Retail Pharmacy in Okmulgee, OK
• Providers in Okmulgee, 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 Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.