Organization Active NPI

Lone Grove Drug

  • Community/Retail Pharmacy
  • Lone Grove, OK
National Provider Identifier
1598822934
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
123540 Issued in OK
Legal business name
LONE GROVE DRUG
Doing business as
Lone Grove Drug
Practice address
16662 US Hwy 70
Lone Grove, OK 73443-1019
Phone
(580) 657-3555
Fax
(580) 657-8259
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
John Delano, RPH
Title
Owner and Pharmacist
Phone
(580) 657-3555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 123540 OK Primary

Addresses

Primary practice location

16662 US Hwy 70
Lone Grove, OK 73443-1019

Mailing address

PO Box 1019
Lone Grove, OK 73443-1019
Phone (580) 657-3555

Other identifiers 2

IdentifierTypeStateIssuer
100236030AMedicaidOK
3712470OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • LONE GROVE DRUG Doing business as

National Provider Directory

National Provider Directory

Locations

16662 US Highway 70
Lone Grove, OK 73443
Phone (580) 657-3555

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1598822934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "734431019",
            "telephone_number": "580-657-3555",
            "fax_number": "580-657-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16662 US HWY 70",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "734431019",
            "telephone_number": "580-657-3555",
            "fax_number": "580-657-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE GROVE DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "DELANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "580-657-3555",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "123540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236030A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3712470",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONE GROVE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lone Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.