Organization Active NPI

Thrifty Pharmacy III

  • Community/Retail Pharmacy
  • Edmond, OK
National Provider Identifier
1710018015
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1-5822 Issued in OK
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

Updated by the provider on Dec 18, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100246170AMedicaidOK
2076221OtherPK

Other names 1

  • THRIFTY PHARMACY EDMOND Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thrifty Pharmacy No III Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.