Poteau Family Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

POTEAU FAMILY PHARMACY, LLC

Doing business as

Poteau Family Pharmacy

Practice address

1122 Tarby Road
Poteau, OK 74953

Phone

(918) 647-0453

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Thomas CrandellNPI 1134723968

Title

Pharmacist

Phone

(918) 647-0453

Specialties & licenses 1

Addresses

Other names 1

• Poteau Family Pharmacy Doing business as

Locations

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.

• Thomas Tanner Crandell

  • Pharmacist
  • Poteau, OK
  • NPI 1134723968
  NPD Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1659063246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 TARBY ROAD",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "74953",
            "telephone_number": "918-647-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 TARBY ROAD",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "74953",
            "telephone_number": "918-647-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTEAU FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "CRANDELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "918-647-0453"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poteau Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Michelle Place, APRN-FNP
• Paul Lee Plummer, MA
• Dustin Mathew Porter, M.D.
• Poteau Community Care
• Poteau Eye Care LLC
• Poteau Nursing Center, LLC (The Oaks Health Care Center Poteau)
• Poteau School District
• Poteau Vision Source, PC
• Jayden A Potter
• Tori Prince

• Community/Retail Pharmacy in Poteau, OK
• Providers in Poteau, 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 Jun 30, 2023; 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.