NPIMap

Organization Active NPI

Muldrow Pharmacy Inc.

  • Community/Retail Pharmacy
  • Muldrow, OK
National Provider Identifier
1447320502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
34-5051 Issued in OK
Legal business name
MULDROW PHARMACY INC.
Practice address
710 E Shawntel Smith Blvd
Muldrow, OK 74948-1109
Phone
(918) 427-3243
Fax
(918) 427-6678
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Andrea Joy Self, DPHNPI 1720206576
Title
Pharmacist
Phone
(918) 427-3243

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 34-5051 OK Primary

Addresses

Primary practice location

710 E Shawntel Smith Blvd
Muldrow, OK 74948-1109

Mailing address

PO Box 1109
710 E Shawntel Smith Blvd.
Muldrow, OK 74948-1109
Phone (918) 427-3243

National Provider Directory

National Provider Directory
Tax ID family
Muldrow Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447320502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1109",
            "address_2": "710 E SHAWNTEL SMITH BLVD.",
            "city": "MULDROW",
            "state": "OK",
            "postal_code": "749481109",
            "telephone_number": "918-427-3243",
            "fax_number": "918-427-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E SHAWNTEL SMITH BLVD",
            "city": "MULDROW",
            "state": "OK",
            "postal_code": "749481109",
            "telephone_number": "918-427-3243",
            "fax_number": "918-427-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULDROW PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "918-427-3243",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "34-5051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muldrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.