NPIMap

Organization Active NPI

GLN of McAlester, Inc

Doing business as Country Mart Pharmacy

  • Pharmacist
  • McAlester, OK
National Provider Identifier
1477631513
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13390 Issued in OK
Legal business name
GLN OF MCALESTER, INC
Doing business as
Country Mart Pharmacy
Practice address
601 E Wyandotte Ave
McAlester, OK 74501-5425
Phone
(918) 423-2980
Fax
(918) 423-4736
NPI assigned
Nov 2, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Katie Leigh Stinchcomb, PHARM.D.NPI 1689729410
Title
Pharmacy Manager
Phone
(918) 423-2980

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 13390 OK Primary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 10833 OK

Addresses

Primary practice location

601 E Wyandotte Ave
McAlester, OK 74501-5425

Mailing address

601 E Wyandotte Ave
McAlester, OK 74501-5425
Phone (918) 423-2980

Other names 1

  • Country Mart Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

207 S Broadway St
Checotah, OK 74426

601 E Wyandotte Ave
McAlester, OK 74501
Phone (918) 423-2980

Practitioners & affiliated clinicians

Practitioners 5

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1477631513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E WYANDOTTE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015425",
            "telephone_number": "918-423-2980",
            "fax_number": "918-423-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E WYANDOTTE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015425",
            "telephone_number": "918-423-2980",
            "fax_number": "918-423-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLN OF MCALESTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "STINCHCOMB",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "918-423-2980",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13390",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "10833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.