Chandler-Hewitt Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

252723 Issued in OK

Legal business name

CHANDLER-HEWITT DRUG INC

Doing business as

Chandler Hewitt Drug

Practice address

121 Main St
Broken Bow, OK 74728-3973

Phone

(580) 584-3378

Fax

(580) 584-6625

NPI assigned

Nov 3, 2006

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rex Chandler

Title

Ceo

Phone

(580) 286-3474

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CHANDLER HEWITT DRUG Doing business as

Tax ID family

Chandler Hewitt Drug2 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.

• Chandler-Hewitt Drug Inc

  dba Chandler Hewitt RX

  • Community/Retail Pharmacy
  • Idabel, OK
  • NPI 1356420020
  NPD tax ID

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1447339114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MAIN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747283973",
            "telephone_number": "580-584-3378",
            "fax_number": "580-584-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAIN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747283973",
            "telephone_number": "580-584-3378",
            "fax_number": "580-584-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER-HEWITT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-286-3474"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "252723",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003901162",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072693",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHANDLER HEWITT DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Brumley
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• Complete Care Medical, Inc.
• Steven M Deaton, DDS

• Community/Retail Pharmacy in Broken Bow, OK
• Providers in Broken Bow, 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 Jul 2, 2014; 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.