NPIMap

Organization Active NPI

Foster Corner Drug Inc

  • Pharmacist
  • Perry, OK
National Provider Identifier
1649490756
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
56-1529 Issued in OK
Legal business name
FOSTER CORNER DRUG INC
Practice address
328 N 6TH St
Perry, OK 73077-6607
Phone
(580) 336-2136
Fax
(580) 336-9445
NPI assigned
Apr 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Troy Simons
Title
Owner and Pharmacist
Phone
(580) 336-2136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 56-1529 OK Primary

Addresses

Primary practice location

328 N 6TH St
Perry, OK 73077-6607

Mailing address

328 N 6TH St
Perry, OK 73077-6607

National Provider Directory

National Provider Directory
Tax ID family
Foster Corner Drug Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

328 N 6th St
Perry, OK 73077
Phone (580) 336-2136

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649490756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N 6TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730776607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N 6TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730776607",
            "telephone_number": "580-336-2136",
            "fax_number": "580-336-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER CORNER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "580-336-2136"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "56-1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.