Dishman Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

3-5500 Issued in OK

Legal business name

DISHMAN PHARMACY INC

Doing business as

Dishman's Pharmacy

Practice address

1310 SW Lee Blvd
Lawton, OK 73501-5610

Phone

(580) 353-8561

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Mark Corrales

Title

Secretary

Phone

(580) 353-8561

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dishman's Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bob N Dishman, R.PH.

  • Pharmacist
  • Lawton, OK
  • NPI 1548268055
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1598763005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735020306",
            "telephone_number": "580-353-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735015610",
            "telephone_number": "580-353-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISHMAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "CORRALES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "580-353-8561"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "3-5500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3702948",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dishman's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marsha Diggs-Tarin, RN
• Patricia E Dileo, LPC
• Kahealani Dingle
• Jason M Dipprey, MPT
• Yvonne Dirickson
• Bob N Dishman, R.PH.
• DMS Telehealth Oklahoma LLC
• Mai T Doan, DMD
• Carl Leroy Dobson, M.D.
• Dennis Dodd, CRNA

• Pharmacy in Lawton, OK
• Providers in Lawton, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.