Organization Active NPI

R&S Drug Store 1

Doing business as R&S Drug #1

  • Community/Retail Pharmacy
  • Duncan, OK
National Provider Identifier
1386188142
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13-7785 Issued in OK
Legal business name
R&S DRUG STORE 1
Doing business as
R&S Drug #1
Practice address
821 W Main St
Duncan, OK 73533-4615
Phone
(580) 255-6292
Fax
(580) 255-6293
NPI assigned
Dec 13, 2016
Last updated
May 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Leslee Marie Kern, DPHNPI 1124249131
Title
President
Phone
(580) 255-6292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 13-7785 OK Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

821 W Main St
Duncan, OK 73533-4615

Mailing address

PO Box 1165
Duncan, OK 73534-1165
Phone (580) 255-6292

Other names 1

  • R&S DRUG #1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170511000043 OK DME Supplier - Pharmacy 0244517746 Practice locations: Duncan, OK
O20200922000411 OK Part B Supplier - Pharmacy 0244517746 Practice locations: Duncan, OK

National Provider Directory

National Provider Directory

Locations

821 W Main St
Duncan, OK 73533
Phone (580) 255-6292

821 W Main St
#1
Duncan, OK 73533
Phone (580) 255-6292

821 W Main St
#R
Duncan, OK 73533
Phone (580) 255-6292

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1386188142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1165",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735341165",
            "telephone_number": "580-255-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W MAIN ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334615",
            "telephone_number": "580-255-6292",
            "fax_number": "580-255-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&S DRUG STORE 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-255-6292",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "13-7785",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R&S DRUG #1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "R&S DRUG #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.