NPIMap

Organization Active NPI

Larry'S Pharmacy of Sulphur Inc

  • Community/Retail Pharmacy
  • Sulphur, OK
National Provider Identifier
1285645184
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
554503 Issued in OK
Legal business name
LARRY'S PHARMACY OF SULPHUR INC
Practice address
1012 W 2ND St
Sulphur, OK 73086-4814
Phone
(580) 622-3131
Fax
(580) 622-4578
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Larry Hobbs, DPHNPI 1942361613
Title
Owner
Phone
(580) 622-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 554503 OK Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1012 W 2ND St
Sulphur, OK 73086-4814

Mailing address

1012 W 2ND St
Sulphur, OK 73086-4814
Phone (580) 622-3131

Other identifiers 3

IdentifierTypeStateIssuer
100236130AMedicaidOK
2072610OtherPK
90003915386MedicaidOK

Other names 1

  • LARRYS HEALTHMART PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1012 W 2nd St
Sulphur, OK 73086
Phone (580) 622-3131

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1285645184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W 2ND ST",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864814",
            "telephone_number": "580-622-3131",
            "fax_number": "580-622-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W 2ND ST",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864814",
            "telephone_number": "580-622-3131",
            "fax_number": "580-622-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY'S PHARMACY OF SULPHUR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-622-3131",
        "authorized_official_credential": "DPH"
    },
    "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": "554503",
            "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236130A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003915386",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LARRYS HEALTHMART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.