Organization Active NPI

Hooker Pharmacy PLLC

  • Community/Retail Pharmacy
  • Boise City, OK
National Provider Identifier
1497842272
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOOKER PHARMACY PLLC
Doing business as
Boise City Pharmacy
Practice address
318 W Main St
Boise City, OK 73933-9607
Phone
(580) 544-3441
Fax
(405) 767-0905
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Kenan Leroy Denten, PHARMDNPI 1821718859
Title
Owner/Pic
Phone
(580) 544-3441

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

318 W Main St
Boise City, OK 73933-9607

Mailing address

PO Box 97
Boise City, OK 73933-0097
Phone (580) 544-3441

Other identifiers 4

IdentifierTypeStateIssuer
100238790BMedicaidOK
1821718859OtherNPI FOR PHARMACIST
100238790AMedicaidOK
2074124OtherPK

Other names 1

  • Boise City Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1497842272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "739330097",
            "telephone_number": "580-544-3441",
            "fax_number": "405-767-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W MAIN ST",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "739339607",
            "telephone_number": "580-544-3441",
            "fax_number": "405-767-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOKER PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "DENTEN",
        "authorized_official_first_name": "KENAN",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "580-544-3441",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238790B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR PHARMACIST",
            "identifier": "1821718859",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238790A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074124",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boise City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.