Toni'S Westside Rexall Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6-2133 Issued in OK

Legal business name

TONI'S WESTSIDE REXALL INC

Practice address

301 W Grand Ave
Ponca City, OK 74601-5118

Phone

(580) 765-4456

Fax

(580) 765-0668

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Toni K Gibson, DPHNPI 1780775502

Title

Chief Pharmacist Owner

Phone

(580) 765-4456

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

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

• Toni Kay Gibson, DPH

  • Pharmacist
  • Ponca City, OK
  • NPI 1780775502
  NPD (past) Authorized official
• Shelli Dawn Caldwell

  • Pharmacy Technician
  • Ponca City, OK
  • NPI 1164513040
  NPD
• Mechelle Lynnette Bentley

  • Pharmacy Technician
  • Ponca City, OK
  • NPI 1134210016
  NPD (past)
• Linda Lucille Caygle

  • Pharmacy Technician
  • Ponca City, OK
  • NPI 1982770699
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1407901671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W GRAND AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015118",
            "telephone_number": "580-765-4456",
            "fax_number": "580-765-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W GRAND AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015118",
            "telephone_number": "580-765-4456",
            "fax_number": "580-765-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI'S WESTSIDE REXALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF PHARMACIST OWNER",
        "authorized_official_telephone_number": "580-765-4456",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "6-2133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235620B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Elizabeth Thomason, LPC
• Gail M Thompson
• Johnny R Thompson
• Anthony Tillman, M.S.
• Toni'S Westside Rexall Inc
• Traditions Health Care of Ponca City, LLC
• Ellen Reeser Trantham, ARNP
• Triad Complete Care, LLC
• Triad Complete Healthcare Z16 LLC
• Triad Family Chiropractic, LLC

• Durable Medical Equipment & Medical Supplies in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.