Organization Active NPI

R&S Drug Store #1 LLC

  • Community/Retail Pharmacy
  • Duncan, OK
National Provider Identifier
1700509544
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
R&S DRUG STORE #1 LLC
Practice address
821 W Main St
Duncan, OK 73533-4615
Phone
(580) 255-6292
Fax
(580) 255-6293
NPI assigned
Sep 26, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Leslee Marie Kern, DPHNPI 1124249131
Title
President
Phone
(580) 255-6292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

821 W Main St
Duncan, OK 73533-4615

Mailing address

821 W Main St
Duncan, OK 73533-4615
Phone (580) 255-6292

Other identifiers 1

IdentifierTypeStateIssuer
200686130AMedicaidOK

National Provider Directory

National Provider Directory

Locations

821 W Main St
Duncan, OK 73533
Phone (580) 255-6292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1700509544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W MAIN ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334615",
            "telephone_number": "580-255-6292",
            "fax_number": "580-255-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W MAIN ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334615",
            "telephone_number": "580-255-6292",
            "fax_number": "580-255-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&S DRUG STORE #1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-255-6292",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200686130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.