Hominy Rexall Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

162545 Issued in OK

Legal business name

HOMINY REXALL INC

Doing business as

Hominy Rexall Drug

Practice address

104 W Main St
Hominy, OK 74035-1032

Phone

(918) 885-2715

Fax

(918) 885-4516

NPI assigned

Oct 26, 2006

Last updated

Jul 2, 2014By 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

John Snider

Title

Owner Phcst

Phone

(918) 885-2715

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HOMINY REXALL DRUG Doing business as

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1356426647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "HOMINY",
            "state": "OK",
            "postal_code": "740351032",
            "telephone_number": "918-885-2715",
            "fax_number": "918-885-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "HOMINY",
            "state": "OK",
            "postal_code": "740351032",
            "telephone_number": "918-885-2715",
            "fax_number": "918-885-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMINY REXALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "918-885-2715"
    },
    "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": "162545",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100237360A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMINY REXALL DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kisha Marie Farrell, APRN FNP-BC
• Katelyn S Fitzgerald, APRN, FNP-C
• Heel to Toe Foot Care Plus Inc
• Hominy Community Medical Trust Authority
• Hominy Public School
• Mary Kekahbah
• Wendy Denise Madison, CNP
• Timothy William Mauer
• Jeffrey Todd Nance
• Katherine Elizabeth Owens, IBCLC

• Community/Retail Pharmacy in Hominy, OK
• Providers in Hominy, 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 Jul 2, 2014; 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.