Dicus Thrif-T-Wise Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

23948 Issued in OK

Legal business name

DICUS THRIF-T-WISE PHARMACY, INC.

Doing business as

DICUS PHARMACY

Practice address

312 W 12TH St
Ada, OK 74820-6406

Phone

(580) 332-8888

Fax

(580) 332-7965

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dave McMillin, PHARMACY

Title

Owner President

Phone

(580) 332-8888

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DICUS PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Ray McMillin, D.PH.

  • Pharmacist
  • Ada, OK
  • NPI 1750392114
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1336257146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 12TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206406",
            "telephone_number": "580-332-8888",
            "fax_number": "580-332-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 12TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206406",
            "telephone_number": "580-332-8888",
            "fax_number": "580-332-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICUS THRIF-T-WISE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "MCMILLIN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "580-332-8888",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "23948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072612",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DICUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Don Dewitt, DPT
• Glen Edward Diacon Jr., MD
• Shannon Nicole Dial, LMFT
• Kathryn Suzanne Dickerson, BS/BHWC
• John Phillip Dickinson, ARNP
• Kyndel Dillard, PA-C
• James Vincent Dobbs, M.S., LPC, CM-A
• Beth Anneleise Donaghey
• Laura Lindsey Dooley, ARNP
• Sean Dority

• Community/Retail Pharmacy in Ada, OK
• Providers in Ada, 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 Aug 4, 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.