Fairview RX Inc
Organization Active NPI Community/Retail Pharmacy · Fairview, OK
NPI 1275779159 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1275779159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 665355 (OK)
- Legal business name
- FAIRVIEW RX INC
- Practice address
- 210 E State Rd
Fairview, OK 73737-1326 - Phone
- (580) 227-2045
- Fax
- (580) 227-2046
- NPI assigned
- Dec 26, 2008
- Organization subpart
- No
Authorized official
- Name
- Brian K Harrison
- Title
- Owner
- Phone
- (580) 654-1111
Practitioners 3
-
Brian K Harrison, DPH
-
Rochelle Leonard, DPH
-
Michael W Schmitz, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Fairview RX Inc |
Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Urological Supplies|Nebulizer Equipment and/or Supplies | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930008934 | OK | DME Supplier - Pharmacy |
7517166036 | Practice locations: Fairview, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 665355 | OK | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
210 E State Rd
Fairview, OK 73737-1326
Mailing address
210 E State Rd
Fairview, OK 73737-1326
Phone (580) 227-2045
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2118447 | Other | PK | |
| 200235550B | Medicaid | OK | |
| 200235550A | Medicaid | OK |
Other names
- Fairview Rx
Other providers in Fairview, OK
- Fairview Regional Medical Center
- Fairview Regional Medical Center Authority
- Fairview Regional Medical Center Authority
- Fairview Regional Medical Center Authority
- Fairview Regional Medical Center Authority
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- Jana Lyn Hickman
All providers in Fairview, OK · Community/Retail Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.