NPIMap

Organization Active NPI

SSM Health Care of Oklahoma Inc

Doing business as St. Anthony Pharmacy East

  • Community/Retail Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1316354814
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1-7683 Issued in OK
Legal business name
SSM HEALTH CARE OF OKLAHOMA INC
Doing business as
St. Anthony Pharmacy East
Practice address
3400 S Douglas Blvd
Oklahoma City, OK 73150-1001
Phone
(405) 772-4034
NPI assigned
Jul 16, 2014
Last updated
Nov 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Charles Dreyling
Title
Dop
Phone
(405) 272-6393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 1-7683 OK Primary

Addresses

Primary practice location

3400 S Douglas Blvd
Oklahoma City, OK 73150-1001

Mailing address

3400 S Douglas Blvd
Oklahoma City, OK 73150-1001
Phone (405) 772-4034

Other identifiers 1

IdentifierTypeStateIssuer
2147052OtherPK

Other names 1

  • St. Anthony Pharmacy East Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Anthony Hospital Esr56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1316354814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 S DOUGLAS BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731501001",
            "telephone_number": "405-772-4034",
            "fax_number": "405-772-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S DOUGLAS BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731501001",
            "telephone_number": "405-772-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH CARE OF OKLAHOMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "DREYLING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DOP",
        "authorized_official_telephone_number": "405-272-6393"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "1-7683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Anthony Pharmacy East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.