Kidd Healthmart Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

66-2590 Issued in OK

Legal business name

KIDD HEALTHMART DRUG CO

Doing business as

Kidd Drugs Gift Inc

Practice address

104 N Main St
Fairview, OK 73737-1621

Phone

(580) 227-4685

Fax

(580) 227-2351

NPI assigned

Jan 24, 2007

Last updated

Feb 20, 2017By 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

Susan Kidd Martens

Title

President

Phone

(580) 227-4685

Specialties & licenses 4

Addresses

Other names 1

• KIDD DRUGS GIFT INC Doing business as

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1295880185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371621",
            "telephone_number": "580-227-4685",
            "fax_number": "580-227-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371621",
            "telephone_number": "580-227-4685",
            "fax_number": "580-227-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDD HEALTHMART DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "KIDD MARTENS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-227-4685"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "66-2590",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDD DRUGS GIFT INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hear-Ology Hearing Aid Center Nwok (Hear-ology Hearing Aid and Wellness Center)
• Jana Lyn Hickman, MS, OTR/L
• Marilyn June Hiebert, D.D.S.
• April Lanette Horner
• Justin Mark Keen, D.C.
• Elizabeth Ann Kimball, APN FNP-BC
• Frieda Sue Kliewer-Dow, MBS
• Mary Kliewer
• Donald Klinger, D.O.
• Knowledge Tree, LLC

• Community/Retail Pharmacy in Fairview, OK
• Providers in Fairview, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.