Fikes Pharmacy, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

42-4672 Issued in OK

Legal business name

FIKES PHARMACY, INC.

Practice address

101 E. 2ND Street
Grandfield, OK 73546

Phone

(580) 479-5696

Fax

(580) 479-5662

NPI assigned

Jan 29, 2007

Last updated

May 15, 2023By 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

Amy B Fikes

Title

Owner

Phone

(580) 479-5696

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Tax ID family

Fikes Pharmacy Inc2 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.

• Fikes Pharmacy Inc

  dba Fikes Pharmacy

  • Long Term Care Pharmacy
  • Grandfield, OK
  • NPI 1952475345
  NPD tax ID

Locations

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.

• Cory Fikes, DPH

  • Pharmacist
  • Grandfield, OK
  • NPI 1962519900
  NPD
• Bradyn Fikes, PHARMD

  • Pharmacist
  • Grandfield, OK
  • NPI 1659090249
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1548306368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "GRANDFIELD",
            "state": "OK",
            "postal_code": "735460159",
            "telephone_number": "580-479-5696",
            "fax_number": "580-479-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E. 2ND STREET",
            "city": "GRANDFIELD",
            "state": "OK",
            "postal_code": "73546",
            "telephone_number": "580-479-5696",
            "fax_number": "580-479-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIKES PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "FIKES",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-479-5696"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "42-4672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100245210B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580095",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridging Family Healthcare, LLC (Bridging Family Heathcare)
• Kenda L Dean, ARNP
• Fikes Pharmacy Inc (Fikes Pharmacy)
• Bradyn Fikes, PHARMD
• Cory Fikes, DPH
• Grandfield Ambulance Service
• Variety Care, Inc (Variety Care Big Pasture)

• Durable Medical Equipment & Medical Supplies in Grandfield, OK
• Providers in Grandfield, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.