Cushing Family Pharmacy LTC

Organization Active NPI Long Term Care Pharmacy · Cushing, OK

NPI 1700520731 · NPPES record last updated Apr 26, 2022

Key facts

NPI
1700520731
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
CUSHING FAMILY PHARMACY LTC
Practice address
200 S Highland Ave
Cushing, OK 74023-4117
Phone
(918) 225-5200
NPI assigned
Apr 26, 2022
Organization subpart
No

Authorized official

Name
Troy Simons
Title
President
Phone
(405) 742-8099

Corporate family (same tax ID) 1

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

Practitioners 1

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

National Provider Directory

Tax ID family
Cushing Family Pharmacy (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

200 S Highland Ave
Cushing, OK 74023-4117

Mailing address

200 S Highland Ave
Cushing, OK 74023-4117
Phone (918) 225-5200

Other identifiers

IdentifierTypeStateIssuer
8-7679OtherOKOKLAHOMA STATE BOARD OF PHARMACY

Electronic endpoints

TypeEndpointUseAffiliation
Other URL www.cushingpharmacy.com

Other providers in Cushing, OK

All providers in Cushing, OK · Long Term Care Pharmacy in Oklahoma

Sources for this page

Verify at the official NPI Registry.