Simpsons Prague Pharmacy PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31-5953 Issued in OK

Legal business name

SIMPSONS PRAGUE PHARMACY PLLC

Doing business as

Prague Pharmacy

Practice address

1020 W Main St
Prague, OK 74864-4501

Phone

(405) 567-4322

Fax

(405) 567-3303

NPI assigned

Jul 22, 2006

Last updated

Feb 12, 2015By 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

Gerry Simpson, D PH

Title

Owner

Phone

(405) 567-4322

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PRAGUE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1487675443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W MAIN ST",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748644501",
            "telephone_number": "405-567-4322",
            "fax_number": "405-567-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W MAIN ST",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748644501",
            "telephone_number": "405-567-4322",
            "fax_number": "405-567-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSONS PRAGUE PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-567-4322",
        "authorized_official_credential": "D PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "31-5953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247240A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAGUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roger L Radell O D Incorporated P C
• Rose Wellness Center LLC
• Joshua Ray Sheffield, PHARM.D.
• Sheffields Prague Pharmacy LLC (Prague Pharmacy)
• Francis M Shelton, EDD,PSRS,CM
• Nickolas Lee Sitter
• Kyle Spears
• Cora Spencer
• Vivian Tadlock
• Demetria Lavonna Tryon

• Community/Retail Pharmacy in Prague, OK
• Providers in Prague, 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 Feb 12, 2015; 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.