Ole Miners Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

OLE MINERS PHARMACY

Doing business as

Ole Miners Pharmacy

Practice address

103 S Connell Ave
Picher, OK 74360-0248

Phone

(918) 673-1552

Fax

(918) 673-2050

NPI assigned

Sep 20, 2006

Last updated

Jan 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary D Linderman, PHARMACIST

Title

Owner

Phone

(918) 673-1552

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• OLE MINERS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1295832558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S CONNELL AVE",
            "city": "PICHER",
            "state": "OK",
            "postal_code": "743601533",
            "telephone_number": "918-673-1552",
            "fax_number": "918-673-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S CONNELL AVE",
            "city": "PICHER",
            "state": "OK",
            "postal_code": "743600248",
            "telephone_number": "918-673-1552",
            "fax_number": "918-673-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLE MINERS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "LINDERMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-673-1552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "100443320A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100245160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLE MINERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Missy Ann Beets
• City of Picher (Picher Fire & EMS)
• Northern Ottawa County Co-Op
• Picher Fire Department EMS

• Pharmacy in Picher, OK
• Providers in Picher, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.