Active NPI
Northern Oklahoma Pharmacy
- Pharmacy
- Tonkawa, OK
National Provider Identifier
1679378608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- NORTHERN OKLAHOMA PHARMACY
- Practice address
- 16603 W South Ave
Tonkawa, OK 74653-4707 - Phone
- (580) 557-0085
- Fax
- (580) 557-0090
- NPI assigned
- Feb 14, 2025
- 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
- Megan Nicole Preston, PHARMD
- Title
- Pic
- Phone
- (580) 557-0085
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
16603 W South Ave
Tonkawa, OK 74653-4707
Mailing address
PO Box 8
Tonkawa, OK 74653-0008
Phone (580) 557-0085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250721001013 | OK | DME Supplier - Pharmacy | 3476069170 | Practice locations: Tonkawa, OK |
National Provider Directory
National Provider Directory- Tax ID family
- Northern Oklahoma Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Tonkawa, OK
- NPI 1124955596
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tonkawa, OK
- NPI 1235696295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1679378608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8",
"city": "TONKAWA",
"state": "OK",
"postal_code": "746530008",
"telephone_number": "580-557-0085",
"fax_number": "580-557-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16603 W SOUTH AVE",
"city": "TONKAWA",
"state": "OK",
"postal_code": "746534707",
"telephone_number": "580-557-0085",
"fax_number": "580-557-0090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN OKLAHOMA PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-14",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "PRESTON",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "580-557-0085",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tonkawa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.