Active NPI
Thrifty Pharmacy III
- Community/Retail Pharmacy
- Edmond, OK
National Provider Identifier
1710018015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1-5822
- Legal business name
- THRIFTY PHARMACY III
- Practice address
- 230 S Santa Fe Ave
Edmond, OK 73003-4766 - Phone
- (405) 715-4405
- Fax
- (405) 715-4407
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dani Lynch Colston, DPH
- Title
- Pres
- Phone
- (405) 751-2852
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1-5822 | OK | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
230 S Santa Fe Ave
Edmond, OK 73003-4766
Mailing address
230 S Santa Fe Ave
Edmond, OK 73003-4766
Phone (405) 715-4405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100246170A | Medicaid | OK | |
| 2076221 | Other | PK |
Other names 1
- THRIFTY PHARMACY EDMOND
National Provider Directory
National Provider Directory- Tax ID family
- Thrifty Pharmacy No III Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Oklahoma City, OK
- NPI 1245871193
-
- Long Term Care Pharmacy
- Edmond, OK
- NPI 1720620701
Locations
230 S Santa Fe Ave
Edmond, OK 73003
Phone (405) 715-4405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482019200000",
"number": "1710018015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 S SANTA FE AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730034766",
"telephone_number": "405-715-4405",
"fax_number": "405-715-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S SANTA FE AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730034766",
"telephone_number": "405-715-4405",
"fax_number": "405-715-4407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PHARMACY III",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2016-12-18",
"status": "A",
"authorized_official_last_name": "LYNCH COLSTON",
"authorized_official_first_name": "DANI",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "405-751-2852",
"authorized_official_credential": "DPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "1-5822",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100246170A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2076221",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THRIFTY PHARMACY EDMOND",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.