Kens RX Discount Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

3-5058 Issued in OK

Legal business name

KENS RX DISCOUNT PHARMACY

Practice address

802 W Gore Blvd
Lawton, OK 73501-3719

Phone

(580) 353-4113

Fax

(580) 357-3862

NPI assigned

May 7, 2007

Last updated

Aug 3, 2015By 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

Mr. Kenneth Royce Hawkins, DPH

Title

Partner

Phone

(580) 353-4113

Specialties & licenses 2

Addresses

Other identifiers 2

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.

• Brenda Buschman

  • Pharmacist
  • Lawton, OK
  • NPI 1861061897
  NPD (past)
• Alece Newell, DPH

  • Pharmacist
  • Lawton, OK
  • NPI 1093867475
  NPD (past)
• Daniell Shannon, PHARMD

  • Pharmacist
  • Lawton, OK
  • NPI 1790378644
  NPD (past)
• Jeremy Alan Rozell

  • Pharmacist
  • Jupiter, FL
  • NPI 1306449962
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1366654675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013719",
            "telephone_number": "580-353-4113",
            "fax_number": "580-357-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013719",
            "telephone_number": "580-353-4113",
            "fax_number": "580-357-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENS RX DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ROYCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "580-353-4113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "3-5058",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "3-5058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239000B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "423407",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Marie Kelly
• Rian Kelly
• Robert Kendall, RN
• John Kendrick, DMD
• Rebecca A Kendrick, M.S., LPC CANDIDATE
• Kens RX Discount Pharmacy (Kens RX)
• Annette Kent
• Brandon Kephart
• Jimmy Michael Kerley, MD
• Robert L Kern, MD

• Pharmacy in Lawton, OK
• Providers in Lawton, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.