Susan Wells Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SUSAN WELLS PHARMACY INC

Practice address

215 N Main St
Bristow, OK 74010-2407

Phone

(918) 367-3391

Fax

(918) 367-3392

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Susan WellsNPI 1891408076

Title

President/Pic

Phone

(918) 367-3391

Specialties & licenses 1

Addresses

Other names 1

• Kemp Drug & Gift LTC Doing business as

Tax ID family

Kemp Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Susan Wells Pharmacy Inc

  • Community/Retail Pharmacy
  • Bristow, OK
  • NPI 1689610172
  NPD tax ID

Locations

Practitioners 1

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

• Susan Wells, RPH

  • Pharmacist
  • Bristow, OK
  • NPI 1891408076
  NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1699599019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740102407",
            "telephone_number": "918-367-3391",
            "fax_number": "918-367-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740102407",
            "telephone_number": "918-367-3391",
            "fax_number": "918-367-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WELLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "918-367-3391"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kemp Drug & Gift LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carl Roe Smith, DO
• Snyder Medical Clinic
• Ryleigh Spencer, MS, OT
• Shane Christopher Strasburg, DPT
• Susan Wells Pharmacy Inc
• Leona Lillian Tanner, LADC
• Katie Louise Taylor, PT, DPT
• Meridith Tinnin, DDS
• Jaimie Ruth Tollison, OTR
• Gabrielle Leslie Vanorsdol

• Long Term Care Pharmacy in Bristow, OK
• Providers in Bristow, OK by specialty
• Long Term Care Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.