Active NPI
Inola Drug Inc
- Community/Retail Pharmacy
- Inola, OK
National Provider Identifier
1487722211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 294353
- Legal business name
- INOLA DRUG INC
- Practice address
- 19 W Commercial St
Inola, OK 74036-3606 - Phone
- (918) 543-8777
- Fax
- (918) 543-2013
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Turner
- Title
- Pres Owner
- Phone
- (918) 543-8777
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 294353 | OK | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
19 W Commercial St
Inola, OK 74036-3606
Mailing address
PO Box 700
Inola, OK 74036-0700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100236740A | Medicaid | OK | |
| 2076233 | Other | PK |
Other names 1
- INOLA DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033264 | OK | DME Supplier - Pharmacy | 7113044710 | Practice locations: Inola, OK |
| O20160726000676 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113044710 | Practice locations: Inola, OK |
National Provider Directory
National Provider Directory- Tax ID family
- Inola Drug
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Inola, OK
- NPI 1831236199
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Inola, OK
- NPI 1770643686
-
- Pharmacist
- Inola, OK
- NPI 1881179406
-
- Pharmacist
- Inola, OK
- NPI 1578623401
-
- Pharmacist
- Inola, OK
- NPI 1861552788
-
- Family Medicine Physician
- Tahlequah, OK
- NPI 1801476262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434067200000",
"number": "1487722211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700",
"city": "INOLA",
"state": "OK",
"postal_code": "740360700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W COMMERCIAL ST",
"city": "INOLA",
"state": "OK",
"postal_code": "740363606",
"telephone_number": "918-543-8777",
"fax_number": "918-543-2013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INOLA DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2015-06-12",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PRES OWNER",
"authorized_official_telephone_number": "918-543-8777"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "294353",
"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": "100236740A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2076233",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "INOLA DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Inola, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.