P & S Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

40-2274 Issued in OK

Legal business name

P & S PHARMACY INC

Doing business as

P and S Pharmacy

Practice address

820 E Highway St
Holdenville, OK 74848-4227

Phone

(405) 379-5431

Fax

(405) 379-3474

NPI assigned

Oct 31, 2006

Last updated

Jan 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Boren

Title

Owner Pharmacist

Phone

(405) 379-5431

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• P AND S PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1679650543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748480071",
            "telephone_number": "405-379-5431",
            "fax_number": "405-379-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E HIGHWAY ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748484227",
            "telephone_number": "405-379-5431",
            "fax_number": "405-379-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "405-379-5431"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "40-2274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236090A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3712381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P AND S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Holdenville, OK
• Providers in Holdenville, 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 Jan 18, 2011; 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.