Organization Active NPI

Red Oak Drug Inc

Doing business as Red Oak Drug

  • Community/Retail Pharmacy
  • Red Oak, TX
National Provider Identifier
1407943798
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12844 Issued in TX
Legal business name
RED OAK DRUG INC
Doing business as
Red Oak Drug
Practice address
106 E Ovilla Rd Ste 1
Red Oak, TX 75154-2480
Phone
(972) 617-2222
Fax
(972) 617-6020
NPI assigned
Oct 6, 2006
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Dr. April Suzanne Powell, PHARM DNPI 1891023727
Title
Owner/Pharmacist
Phone
(972) 938-2642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0031064 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 0031064 TX
Community/Retail Pharmacy 3336C0003X 12844 TX Primary
Compounding Pharmacy 3336C0004X 12844 TX

Addresses

Primary practice location

106 E Ovilla Rd Ste 1
Red Oak, TX 75154-2480

Mailing address

PO Box 2128
Red Oak, TX 75154-1572
Phone (972) 617-2222

Other identifiers 1

IdentifierTypeStateIssuer
143333MedicaidTX

Other names 1

  • Red Oak Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181029000178 TX Part B Supplier - Pharmacy 7618096207 1 other NPI on this enrollment
Practice locations: Red Oak, TX; Waxahachie, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2208064Red Oak Drug, Inc106 E Ovilla Rd Suite 1, Red Oak, TX 75154Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory

Locations

106 E Ovilla Rd
Red Oak, TX 75154
Phone (972) 617-2222

106 E Ovilla Rd
Ste 1
Red Oak, TX 75154
Phone (972) 617-2222

120 S Grand Ave
Waxahachie, TX 75165
Phone (972) 937-2642

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1407943798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2128",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751541572",
            "telephone_number": "972-617-2222",
            "fax_number": "972-617-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E OVILLA RD STE 1",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542480",
            "telephone_number": "972-617-2222",
            "fax_number": "972-617-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAK DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "972-938-2642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0031064",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0031064",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "12844",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "12844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143333",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Oak Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.