Active NPI
Elk City RX Inc
- Durable Medical Equipment & Medical Supplies
- Elk City, OK
National Provider Identifier
1669648002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ELK CITY RX INC
- Practice address
- 1503 W 3Rd St
Elk City, OK 73644-5111 - Phone
- (580) 225-5550
- Fax
- (280) 225-6658
- NPI assigned
- May 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Woody, PHARMD
- Title
- Owner
- Phone
- (580) 225-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1503 W 3Rd St
Elk City, OK 73644-5111
Mailing address
PO Box 370
Elk City, OK 73648
Phone (580) 225-5550
Other names 1
- Grandview Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930062151 | OK | DME Supplier - Pharmacy | 2163628256 | Practice locations: Elk City, OK |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Elk City RX Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Elk City, OK
- NPI 1235120312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1669648002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "ELK CITY",
"state": "OK",
"postal_code": "73648",
"telephone_number": "580-225-5550",
"fax_number": "580-225-6658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 W 3RD ST",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736445111",
"telephone_number": "580-225-5550",
"fax_number": "280-225-6658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELK CITY RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "WOODY",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-225-5550",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grandview Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elk City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.