Eagle Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28-7364 Issued in OK

Legal business name

EAGLE PHARMACY LLC

Doing business as

Eagle Pharmacy, LLC

Practice address

3741 Legacy
Weatherford, OK 73096-9746

Phone

(580) 772-3300

Fax

(580) 772-3317

NPI assigned

Nov 17, 2014

Last updated

Feb 3, 2021By 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

Clark ArganbrightNPI 1689327959

Title

President

Phone

(405) 609-7504

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Eagle Pharmacy, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Eagle Pharmacy2 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.

• Eagle Pharmacy LLC

  dba Eagle Pharmacy

  • Long Term Care Pharmacy
  • Weatherford, OK
  • NPI 1053099465
  NPD tax ID

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.

• Clark Arganbright, PHARMD

  • Pharmacist
  • Weatherford, OK
  • NPI 1689327959
  NPD Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1609272707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 LEGACY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969746",
            "telephone_number": "405-609-7504",
            "fax_number": "580-772-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 LEGACY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969746",
            "telephone_number": "580-772-3300",
            "fax_number": "580-772-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "ARGANBRIGHT",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-609-7504"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "28-7364",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200567740A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagle Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Drum
• Rebekah Dudley
• Kimberly Dunn, PHARMD
• Dwight C Shreck OD
• Eagle Pharmacy LLC (Eagle Pharmacy)
• Kayann Eck
• Annie Ellis, PHARMD
• Jackson Kerry England
• Andra R. Epperly, LPC, NCC
• Mark S Erskine

• Community/Retail Pharmacy in Weatherford, OK
• Providers in Weatherford, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.