NPIMap

Organization Active NPI

Star Pharmacy Inc

Doing business as Star Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Duncan, OK
National Provider Identifier
1497837298
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
136164 Issued in OK
Legal business name
STAR PHARMACY INC
Doing business as
Star Medical Center Pharmacy
Practice address
2340 W Elk Ave RM 10
Duncan, OK 73533-5649
Phone
(580) 255-7165
Fax
(580) 255-0720
NPI assigned
Oct 20, 2006
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Dr. Brian Edward Bobrovicz, PHARMDNPI 1548322696
Title
Owner-Pres
Phone
(580) 255-7165

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
Community/Retail Pharmacy 3336C0003X 136164 OK Primary
Long Term Care Pharmacy 3336L0003X 136164 OK

Addresses

Primary practice location

2340 W Elk Ave RM 10
Duncan, OK 73533-5649

Mailing address

2340 W Elk Ave RM 10
Duncan, OK 73533-5649
Phone (580) 255-7165

Other identifiers 2

IdentifierTypeStateIssuer
2073447OtherPK
100242650AMedicaidOK

Other names 1

  • STAR MEDICAL CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2340 W Elk Ave
Rm 10
Duncan, OK 73533
Phone (580) 255-7165

Practitioners & affiliated clinicians

Practitioners 2

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1497837298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 W ELK AVE RM 10",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735335649",
            "telephone_number": "580-255-7165",
            "fax_number": "580-255-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 W ELK AVE RM 10",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735335649",
            "telephone_number": "580-255-7165",
            "fax_number": "580-255-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "BOBROVICZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER-PRES",
        "authorized_official_telephone_number": "580-255-7165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "136164",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "136164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073447",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100242650A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STAR MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.