Consumers Iga Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

83809 Issued in OK

Legal business name

CONSUMERS IGA PHARMACY

Doing business as

Consumers Pharmacy

Practice address

909 W 6TH Ave
Stillwater, OK 74074-4302

Phone

(405) 372-5242

Fax

(405) 372-2831

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Maribeth Eades

Title

Pharmacy Manager

Phone

(405) 372-5242

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CONSUMERS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1336287325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744302",
            "telephone_number": "405-372-5242",
            "fax_number": "405-372-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744302",
            "telephone_number": "405-372-5242",
            "fax_number": "405-372-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUMERS IGA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "EADES",
        "authorized_official_first_name": "MARIBETH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "405-372-5242"
    },
    "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": "83809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244650A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074705",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONSUMERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephenie Connelly, MS, LPC
• Mandy Sheree Conner, LMSW-P
• Roxanna Rae Conner, B.S., C.M.-D,BHRS
• Julia Hope Conneywerdy, PA-C
• Conquering Transitions
• Stephanie Rene Cookerly, RN
• Bailey Annette Cooper
• Pamela R Cooper, BS
• Sherry D Cooper
• Tyler Williamson Copeland

• Community/Retail Pharmacy in Stillwater, OK
• Providers in Stillwater, 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 Apr 14, 2015; 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.