Collinsville Family Pharmacy LC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

COLLINSVILLE FAMILY PHARMACY LC

Practice address

1205 W Main St Ste a
Collinsville, OK 74021-3114

Phone

(918) 371-2547

Fax

(918) 371-0268

NPI assigned

Jun 27, 2024

Organization subpart

Yes

Parent organization

COLLINSVILLE FAMILY PHARMACY LCAs reported in NPPES

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

Authorized official

Name

Dr. Colton B TurnbullNPI 1508391053

Title

Owner

Phone

(918) 371-2547

Specialties & licenses 1

Addresses

Other names 1

• Collinsville Family Pharmacy Doing business as

Part of

Collinsville Family Pharmacy LC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Collinsville Family Pharmacy LC

  • Community/Retail Pharmacy
  • Collinsville, OK
  • NPI 1336185222
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colton Turnbull, DPH

  • Pharmacist
  • Collinsville, OK
  • NPI 1508391053
  NPD Authorized official
• Sherri Laverne Clark, DPH

  • Pharmacist
  • Collinsville, OK
  • NPI 1114085214
  NPD

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1396580676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 W MAIN ST STE A",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740213114",
            "telephone_number": "918-371-2547",
            "fax_number": "918-371-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W MAIN ST STE A",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740213114",
            "telephone_number": "918-371-2547",
            "fax_number": "918-371-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINSVILLE FAMILY PHARMACY LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLINSVILLE FAMILY PHARMACY LC",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "TURNBULL",
        "authorized_official_first_name": "COLTON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-371-2547",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collinsville Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherri Laverne Clark, DPH
• Emily Cline
• Kelly Faye Coffin, RN
• Collinsville Family Clinic, Inc.
• Collinsville Family Pharmacy LC
• Collinsville Primary Eyecare
• Collinsville Public Schools
• Collinsville Rural Fire Protection District
• Cordero Counseling, PLLC
• Jerry C Crain, D.O.

• Long Term Care Pharmacy in Collinsville, OK
• Providers in Collinsville, OK by specialty
• Long Term Care Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.