Pharmcareok of Durant, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

276104 Issued in OK

Legal business name

PHARMCAREOK OF DURANT, INC.

Practice address

102 Waldron Dr
Durant, OK 74701-1902

Phone

(580) 920-2211

Fax

(580) 920-2215

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Kent Abbott

Title

President

Phone

(405) 663-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PharmcareOK of Durant, Inc. Doing business as

Tax ID family

Pharmcareok of Durant Inc2 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.

• Pharmcareok of Durant Inc

  • Long Term Care Pharmacy
  • Durant, OK
  • NPI 1356370076
  NPD tax ID

Locations

Practitioners 1

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

• Michael Trent Macon, PHARMD

  • Pharmacist
  • Durant, OK
  • NPI 1972106979
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1487088175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730480130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WALDRON DR",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747011902",
            "telephone_number": "580-920-2211",
            "fax_number": "580-920-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCAREOK OF DURANT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-663-4111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "276104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmcareOK of Durant, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sky Pettett
• Carla Beth Pettit
• Jamie Janelle Pfaff, MBS
• Pharmacy Operations Inc
• Pharmcareok of Durant Inc
• Camille Euvon Phelps
• Dorothy Jean Phelps, M ED
• Melissa B Phelps, BHRS
• Franjelica Phillips
• Jane Elizabeth Phillips

• Community/Retail Pharmacy in Durant, OK
• Providers in Durant, 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 Aug 29, 2013; 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.