Rexco Drug of Altus Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

175286 Issued in OK

Legal business name

REXCO DRUG OF ALTUS INC

Doing business as

Rexco Drug

Practice address

2101 N Main St
Altus, OK 73521-1605

Phone

(580) 477-0381

Fax

(580) 477-1749

NPI assigned

Nov 7, 2006

Last updated

Dec 18, 2016By 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

Lonnie LongNPI 1184723199

Title

President

Phone

(580) 477-0381

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• REXCO DRUG Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lonnie D Long, DPH

  • Pharmacist
  • Altus, OK
  • NPI 1184723199
  NPD Authorized official
• Kyle Keenum, PHARM D

  • Pharmacist
  • Altus, OK
  • NPI 1790448033
  NPD (past)
• Levi Muller, PHARM D

  • Pharmacist
  • Altus, OK
  • NPI 1528721818
  NPD (past)
• Elizabeth Myers, PHARM D

  • Pharmacist
  • Altus, OK
  • NPI 1043973324
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1346319837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N MAIN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211605",
            "telephone_number": "580-477-0381",
            "fax_number": "580-477-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N MAIN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211605",
            "telephone_number": "580-477-0381",
            "fax_number": "580-477-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REXCO DRUG OF ALTUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-477-0381"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "175286",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100241510A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REXCO DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebound Altus Incorportated
• Rachel M Reeves
• Renal Treatment Centers West Inc (Altus Dialysis Center)
• Resters Diabetic Shoes and Home Medical
• Misty Deheon Reuter, AA
• Rexco Home Medical & Equipment
• Madison Rhodes, OD
• Richard G. Henry
• Kimberly Ruth Richardson
• Julia Rivera-Figueroa, M.D.

• Community/Retail Pharmacy in Altus, OK
• Providers in Altus, 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 Dec 18, 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.