Owasso Drug Company LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-7287 Issued in OK

Legal business name

OWASSO DRUG COMPANY LLC

Practice address

12724 E 86TH St N
Owasso, OK 74055-2548

Phone

(918) 272-2881

Fax

(918) 272-2883

NPI assigned

Jun 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Dean FlanaryNPI 1649740333

Title

Co-Owner

Phone

(918) 272-2881

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Owasso Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Ryan Dean Flanary, PHARMD.

  • Pharmacist
  • Owasso, OK
  • NPI 1649740333
  NPD Authorized official

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1447630645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12724 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552548",
            "telephone_number": "918-272-2881",
            "fax_number": "918-272-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12724 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552548",
            "telephone_number": "918-272-2881",
            "fax_number": "918-272-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWASSO DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "FLANARY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "918-272-2881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "2-7287",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200590750A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owasso Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owasso Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Otto, DPT
• Our Family Doctor LLC
• Owasso Behavioral Health
• Owasso Counseling Services,PLLC
• Owasso Dialysis LLC
• Owasso Eye Institute Inc
• Owasso Family Denistry
• Owasso Family Medicine, PLLC
• Owasso Medical Facility LLC
• Owasso Medical Facility LLC

• Community/Retail Pharmacy in Owasso, OK
• Providers in Owasso, 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 Mar 13, 2020; 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.