Organization Active NPI

Ricks Pharmacy Inc

Doing business as Rick's Pharmacy

  • Community/Retail Pharmacy
  • Enid, OK
National Provider Identifier
1285866335
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5-5462 Issued in OK
Legal business name
RICKS PHARMACY INC
Doing business as
Rick's Pharmacy
Practice address
811 W Randolph Ave
Enid, OK 73701-3834
Phone
(580) 237-1535
Fax
(580) 237-0688
NPI assigned
Aug 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Rick HillNPI 1316417108
Title
Pharmacist/Owner
Phone
(580) 237-1535

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5-5462 OK Primary

Addresses

Primary practice location

811 W Randolph Ave
Enid, OK 73701-3834

Mailing address

811 W Randolph Ave
Enid, OK 73701-3834
Phone (580) 237-1535

Other identifiers 2

IdentifierTypeStateIssuer
2121551OtherPK
200267470AMedicaidOK

Other names 1

  • Rick's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101214001062 OK DME Supplier - Pharmacy 5395932594 Practice locations: Enid, OK
O20221101000302 OK Part B Supplier - Mass Immunization (Roster Biller Only) 5395932594 Practice locations: Enid, OK

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
Rick's Pharmacy Inc811W Randolph Ave, Enid, OK 73701-3834(580) 237-1535 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Apr 29, 2010

National Provider Directory

National Provider Directory

Locations

811 W Randolph Ave
Enid, OK 73701
Phone (580) 237-1535

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": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1285866335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013834",
            "telephone_number": "580-237-1535",
            "fax_number": "580-237-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013834",
            "telephone_number": "580-237-1535",
            "fax_number": "580-237-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "580-237-1535"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "5-5462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121551",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200267470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rick's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rick's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.