Organization Active NPI

Inola Drug Inc

  • Community/Retail Pharmacy
  • Inola, OK
National Provider Identifier
1487722211
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
294353 Issued in OK
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

Updated by the provider on Jun 12, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100236740AMedicaidOK
2076233OtherPK

Other names 1

  • INOLA DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Drug2 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.

Practitioners & affiliated clinicians

Practitioners 5

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

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.

Verify at the official NPI Registry.