R&S Drug Store 1

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13-7785 Issued in OK

Legal business name

R&S DRUG STORE 1

Practice address

821 W Main St
Duncan, OK 73533-4615

Phone

(580) 255-6292

Fax

(580) 255-6293

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Leslee Marie Kern, DPH

Title

President

Phone

(580) 255-6292

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• R&S DRUG #1 Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200686130A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166468",
            "state": null
        }
    ],
    "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"
        }
    ]
}

• R & S Drug Stores Inc
• R & S Drug Stores Inc
• R&S Drug Store #1 LLC
• R&S Drug Store #3 LLC
• R&S Drug Store #3 LLC
• Chelsea Nicole Raby, PA-C
• Radiologic Services of Oklahoma PLLC
• Robert G Raines, P.T.
• Rapid Change Center, LLC
• Aaron A. Ray, LPTA, ATC/L

• Community/Retail Pharmacy in Duncan, OK
• Providers in Duncan, 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 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.