Palace Drug Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PALACE DRUG PHARMACY

Practice address

301 N Broadway St
Cleveland, OK 74020-3421

Phone

(918) 358-2524

Fax

(918) 358-2588

NPI assigned

Apr 17, 2025

Organization subpart

No

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

Authorized official

Name

Kimberly Tilley, DPHNPI 1043642317

Title

Owner

Phone

(918) 519-7960

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kimberly Joanna Tilley, PHARM. D.

  • Pharmacist
  • Fairfax, OK
  • NPI 1043642317
  NPD Authorized official

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1447046222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N BROADWAY ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203421",
            "telephone_number": "918-358-2524",
            "fax_number": "918-358-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N BROADWAY ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203421",
            "telephone_number": "918-358-2524",
            "fax_number": "918-358-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE DRUG PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-519-7960",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles S Oleary, PAC
• Opco Cleveland, Ok, LLC
• Osu Center for Health Sciences
• Osu Center for Health Sciences
• Osu Center for Health Sciences
• Anthony D Parson
• Pawnee County Home Health, Inc.
• Austin Ray Peery, LCSW
• Raen Marguerite Perrier, PT, DPT
• Perry W Evans Jr DO PC

• Community/Retail Pharmacy in Cleveland, OK
• Providers in Cleveland, 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 Apr 17, 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.

Verify at the official NPI Registry.