Piedmont RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26-8142 Issued in OK

Legal business name

PIEDMONT RX INC

Practice address

97 Gooder Simpson Blvd
Piedmont, OK 73078-9215

Phone

(405) 373-3090

Fax

(405) 373-1748

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

John SmithNPI 1710458831

Title

Owner/Manager

Phone

(405) 373-3090

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Piedmont Pharmacy and Gifts Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Thomas Smith, PHARM.D.

  • Community/Retail Pharmacy
  • El Reno, OK
  • NPI 1710458831
  NPD Authorized official
• Colby Don Challis, PHARMD

  • Pharmacist
  • Piedmont, OK
  • NPI 1750946232
  NPD (past)
• Lauren Ruth Daugherty, DPH

  • Pharmacist
  • Nampa, ID
  • NPI 1750025581
  NPD (past)

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1669610259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GOODER SIMPSON BLVD",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730789215",
            "telephone_number": "405-373-3090",
            "fax_number": "405-373-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 GOODER SIMPSON BLVD",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730789215",
            "telephone_number": "405-373-3090",
            "fax_number": "405-373-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "405-373-3090"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "26-8142",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200230700A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Pharmacy and Gifts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Piedmont Pharmacy and Gifts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Morgan, RN
• Zachacy A Myatt, PHARMD
• Katie Nimz
• Stephanie Jo Perez
• Kari Larene Phillips
• Precision Speech Therapy
• Robert Kent Rickey, DDS
• Barry Roberts
• Desiree Angelique Robinson
• Brandon Michael Scharrer, DPT

• Community/Retail Pharmacy in Piedmont, OK
• Providers in Piedmont, 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 Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.