Drug Store

Primary specialty

PharmacyTaxonomy code 333600000X

License

13941 Issued in OK

Legal business name

DRUG STORE

Practice address

2801 Parklawn Dr Ste 102
Midwest City, OK 73110-4224

Phone

(405) 733-2881

Fax

(405) 733-3007

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Matlock

Title

Co Owner MGR

Phone

(405) 733-2881

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1285645846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PARKLAWN DR",
            "address_2": "SUITE 102",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PARKLAWN DR STE 102",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104224",
            "telephone_number": "405-733-2881",
            "fax_number": "405-733-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "MATLOCK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CO OWNER MGR",
        "authorized_official_telephone_number": "405-733-2881",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "13941",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3709447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Eugene E Flanangan DDS
• Dr. Walter L. Pipkin
• Sara Dragman, MSACN
• Denise Ann Draper, LCSW
• Ashley Drees, LMSW
• Calet Dubiel
• Dubois Medical Clinic PC
• Elizabeth Ann Dubois, M.A.
• Gary Dean Dubois, MD
• Peggy Culver Dubois, MD

• Pharmacy in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.