NPIMap

Organization Active NPI

GLN Inc of Durant

Doing business as Nichols Dollar Saver

  • Community/Retail Pharmacy
  • Durant, OK
National Provider Identifier
1558348755
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
274660 Issued in OK
Legal business name
GLN INC OF DURANT
Doing business as
Nichols Dollar Saver
Practice address
1231 N Washington Ave
Durant, OK 74701-2119
Phone
(580) 924-2903
Fax
(580) 924-7337
NPI assigned
Dec 28, 2005
Last updated
Nov 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Gary Nichols
Title
Pres/Owner
Phone
(580) 924-2903

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 274660 OK Primary

Addresses

Primary practice location

1231 N Washington Ave
Durant, OK 74701-2119

Mailing address

PO Box 426
#3
Checotah, OK 74426-0426

Other identifiers 2

IdentifierTypeStateIssuer
100243870AMedicaidOK
2074870OtherPK

Other names 1

  • NICHOLS DOLLAR SAVER Doing business as

National Provider Directory

National Provider Directory

Locations

1231 N Washington Ave
Durant, OK 74701
Phone (580) 924-2903

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": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1558348755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "address_2": "#3",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744260426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012119",
            "telephone_number": "580-924-2903",
            "fax_number": "580-924-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLN INC OF DURANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "580-924-2903"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "274660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243870A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NICHOLS DOLLAR SAVER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.