Organization Active NPI

Choteau Discount Pharmacy Inc

Doing business as Choteau Discount Pharmacy

  • Community/Retail Pharmacy
  • Chouteau, OK
National Provider Identifier
1649336520
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30-4564 Issued in OK
Legal business name
CHOTEAU DISCOUNT PHARMACY INC
Doing business as
Choteau Discount Pharmacy
Practice address
214 N Chouteau Ave
Chouteau, OK 74337-3242
Phone
(918) 476-6455
Fax
(918) 476-6966
NPI assigned
Dec 28, 2006
Last updated
Nov 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Karen Chase
Title
Owner
Phone
(918) 476-6455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30-4564 OK Primary

Addresses

Primary practice location

214 N Chouteau Ave
Chouteau, OK 74337-3242

Mailing address

PO Box 700
Inola, OK 74036-0700
Phone (918) 476-6455

Other identifiers 2

IdentifierTypeStateIssuer
100246450AMedicaidOK
2076375OtherPK

Other names 1

  • CHOTEAU DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1649336520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "INOLA",
            "state": "OK",
            "postal_code": "740360700",
            "telephone_number": "918-476-6455",
            "fax_number": "918-476-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CHOUTEAU AVE",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743373242",
            "telephone_number": "918-476-6455",
            "fax_number": "918-476-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOTEAU DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-476-6455"
    },
    "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": "30-4564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246450A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOTEAU DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chouteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.