NPIMap

Organization Active NPI

Westville Prescription Center Inc

Doing business as Westville Prescription Center

  • Community/Retail Pharmacy
  • Westville, OK
National Provider Identifier
1649324880
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
46-4221 Issued in OK
Legal business name
WESTVILLE PRESCRIPTION CENTER INC
Doing business as
Westville Prescription Center
Practice address
301 S Williams
Westville, OK 74965
Phone
(918) 723-5466
Fax
(918) 723-4465
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Clark Phillips, DPH
Title
Owner
Phone
(918) 723-5466

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 46-4221 OK Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

301 S Williams
Westville, OK 74965

Mailing address

PO Box 405
Westville, OK 74965-0405

Other identifiers 2

IdentifierTypeStateIssuer
2073339OtherPK
100238410AMedicaidOK

Other names 1

  • WESTVILLE PRESCRIPTION CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1649324880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "WESTVILLE",
            "state": "OK",
            "postal_code": "749650405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WILLIAMS",
            "city": "WESTVILLE",
            "state": "OK",
            "postal_code": "74965",
            "telephone_number": "918-723-5466",
            "fax_number": "918-723-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTVILLE PRESCRIPTION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-723-5466",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "46-4221",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073339",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTVILLE PRESCRIPTION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.