Richmark Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

34620 Issued in OK

Legal business name

RICHMARK INC

Practice address

1810 W Gore Blvd
Lawton, OK 73501-3615

Phone

(580) 355-4540

Fax

(580) 248-2012

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark G Corrales, D.PH.NPI 1639224165

Title

Pharmacist

Phone

(580) 355-4540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carel's Pharmacy Doing business as

Locations

Practitioners 2

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

• Mark G Corrales, D.PH.

  • Pharmacist
  • Lawton, OK
  • NPI 1639224165
  NPD (past) Authorized official
• Richard McCormack, D.PH.

  • Pharmacist
  • Lawton, OK
  • NPI 1134287139
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1720124936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013615",
            "telephone_number": "580-355-4540",
            "fax_number": "580-248-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013615",
            "telephone_number": "580-355-4540",
            "fax_number": "580-248-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "CORRALES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "580-355-4540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "34620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100242260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carel's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Campbell MD Inc
• Richard Swales Vision Source
• Michael Richard
• Heston Richardson, DO
• Ophelia Richey, RN
• Ashley Dawn Richmond
• Jonathan Michael Riddell, PTA
• Kristi Ridder, BHCM II
• Ruth L Ridge, LPN
• Michael W Rigsby

• Community/Retail Pharmacy in Lawton, OK
• Providers in Lawton, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.