Organization Active NPI

Calvin Harkins Dba Corner Drug Store

Doing business as Corner Drug Store

  • Durable Medical Equipment & Medical Supplies
  • Madill, OK
National Provider Identifier
1700940491
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
684095 Issued in OK
Legal business name
CALVIN HARKINS DBA CORNER DRUG STORE
Doing business as
Corner Drug Store
Practice address
100 E Main St
Madill, OK 73446-2239
Phone
(580) 795-3376
Fax
(580) 795-3255
NPI assigned
Dec 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Calvin R Harkins, DPH
Title
Owner
Phone
(580) 795-3376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 684095 OK Primary

Addresses

Primary practice location

100 E Main St
Madill, OK 73446-2239

Mailing address

100 E Main St
Madill, OK 73446-2239
Phone (580) 795-3376

Other names 1

  • Corner Drug Store Doing business as

National Provider Directory

National Provider Directory

Locations

100 E Main St
Madill, OK 73446
Phone (580) 795-3376

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700940491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734462239",
            "telephone_number": "580-795-3376",
            "fax_number": "580-795-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734462239",
            "telephone_number": "580-795-3376",
            "fax_number": "580-795-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN HARKINS DBA CORNER DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARKINS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-795-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "684095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.