NPIMap

Organization Active NPI

Central Drug Store, Inc.

  • Pharmacist
  • Cement, OK
National Provider Identifier
1356348478
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20-2778 Issued in OK
Legal business name
CENTRAL DRUG STORE, INC.
Practice address
307 North Main St.
Cement, OK 73017-0300
Phone
(405) 489-3521
Fax
(405) 489-3521
NPI assigned
Jul 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Monte Eugene Snider, DPH
Title
Chief Pharmacist/Manager
Phone
(405) 489-3521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 20-2778 OK Primary

Addresses

Primary practice location

307 North Main St.
Cement, OK 73017-0300

Mailing address

PO Box 300
Cement, OK 73017-0300
Phone (405) 489-3521

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356348478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "CEMENT",
            "state": "OK",
            "postal_code": "730170300",
            "telephone_number": "405-489-3521",
            "fax_number": "405-489-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 NORTH MAIN ST.",
            "city": "CEMENT",
            "state": "OK",
            "postal_code": "730170300",
            "telephone_number": "405-489-3521",
            "fax_number": "405-489-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CHIEF PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "405-489-3521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "20-2778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cement, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.