Organization Active NPI

Pawnee Drug, L.L.C.

Doing business as Pawnee Drug

  • Community/Retail Pharmacy
  • Pawnee, OK
National Provider Identifier
1588939896
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
522623 Issued in OK
Legal business name
PAWNEE DRUG, L.L.C.
Doing business as
Pawnee Drug
Practice address
553 Harrison St
Pawnee, OK 74058-2566
Phone
(918) 762-2148
Fax
(918) 762-3717
NPI assigned
Mar 20, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Nathan LongNPI 1578844528
Title
Pharmacist
Phone
(405) 208-1896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 522623 OK Primary

Addresses

Primary practice location

553 Harrison St
Pawnee, OK 74058-2566

Mailing address

553 Harrison St
Pawnee, OK 74058-2566
Phone (918) 762-2148

Other identifiers 1

IdentifierTypeStateIssuer
3726823OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Pawnee Drug Doing business as

National Provider Directory

National Provider Directory

Locations

553 Harrison St
Pawnee, OK 74058
Phone (918) 762-2148

Practitioners & affiliated clinicians

Practitioners 1

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": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1588939896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 HARRISON ST",
            "city": "PAWNEE",
            "state": "OK",
            "postal_code": "740582566",
            "telephone_number": "918-762-2148",
            "fax_number": "918-762-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 HARRISON ST",
            "city": "PAWNEE",
            "state": "OK",
            "postal_code": "740582566",
            "telephone_number": "918-762-2148",
            "fax_number": "918-762-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWNEE DRUG, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "405-208-1896"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "522623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3726823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pawnee Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.