RT Family Discount Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6-5546 Issued in OK

Legal business name

RT FAMILY DISCOUNT PHARMACY INC.

Doing business as

Family Discount Pharmacy

Practice address

310 Fairview
Ponca City, OK 74601-2001

Phone

(580) 762-6335

Fax

(580) 762-4210

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Derrick Jones

Title

Pharmacist

Phone

(580) 762-6335

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Family Discount Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Tax ID family

RT Family Discount Pharmacy LTC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• RT Family Discount Pharmacy

  • Pharmacy
  • Ponca City, OK
  • NPI 1689235426
  NPD tax ID
• RT Family Discount Pharmacy LTC

  • Long Term Care Pharmacy
  • Ponca City, OK
  • NPI 1801530829
  NPD tax ID

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1316029119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FAIRVIEW AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012001",
            "telephone_number": "580-762-6335",
            "fax_number": "580-762-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FAIRVIEW",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012001",
            "telephone_number": "580-762-6335",
            "fax_number": "580-762-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RT FAMILY DISCOUNT PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "580-762-6335"
    },
    "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": "6-5546",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234470A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3701794",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234470B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Rose
• Cerinaty Ross
• Chadwick B. Ross, D.O.
• Lila Marie Roughface
• RT Family Discount Pharmacy
• RT Family Discount Pharmacy LTC
• Lyndse Richelle Rust
• Ryan a Johnson DDS PLLC
• S V Vaidya MD PC
• Sage Bradbury Commons

• Community/Retail Pharmacy in Ponca City, OK
• Providers in Ponca City, 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 Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.