Active NPI
Stilwell Drug Company LLC
- Pharmacy
- Stilwell, OK
National Provider Identifier
1386768067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 463613
- Legal business name
- STILWELL DRUG COMPANY LLC
- Practice address
- 202 S 2ND St
Stilwell, OK 74960-3806 - Phone
- (918) 696-2500
- Fax
- (918) 696-5556
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Carter
- Title
- Owner
- Phone
- (918) 696-2500
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Pharmacy | 333600000X | 463613 | OK | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
202 S 2ND St
Stilwell, OK 74960-3806
Mailing address
202 S 2ND St
Stilwell, OK 74960-3806
Phone (918) 696-2500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161451407 | Medicaid | AR | |
| 2073261 | Other | PK | |
| 100233940A | Medicaid | OK |
Other names 1
- Stilwell Pharmacy
National Provider Directory
National Provider DirectoryLocations
202 S 2nd St
Stilwell, OK 74960
Phone (918) 696-2500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Stilwell, OK
- NPI 1073158978
-
- Pharmacist
- Stilwell, OK
- NPI 1487749081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1386768067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S 2ND ST",
"city": "STILWELL",
"state": "OK",
"postal_code": "749603806",
"telephone_number": "918-696-2500",
"fax_number": "918-696-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S 2ND ST",
"city": "STILWELL",
"state": "OK",
"postal_code": "749603806",
"telephone_number": "918-696-2500",
"fax_number": "918-696-5556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILWELL DRUG COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-696-2500",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OK",
"license": "463613",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161451407",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2073261",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100233940A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stilwell Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stilwell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.