Med-X Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MED-X CORPORATION

Practice address

15030 S Memorial Dr
Bixby, OK 74008-3706

Phone

(918) 366-9410

Fax

(918) 366-9415

NPI assigned

Oct 25, 2006

Organization subpart

Yes

Parent organization

WALGREENS BOOTS ALLIANCE INCAs reported in NPPES

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

Authorized official

Name

Mr. Alan Nielsen

Title

Treasurer

Phone

(847) 315-3523

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• MED-X Drug #15 Doing business as

Part of

Walgreens Holding Company

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Walgreen Co

  • Pharmacy
  • South Chicago Heights, IL
  • NPI 1538175096

  Member Of

  NPD member

Locations

Practitioners 1

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

• Michael T Brummert, PHARMD

  • Pharmacist
  • Bixby, OK
  • NPI 1427260991
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1720162860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES",
            "address_2": "MS 790",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "217-709-2386",
            "fax_number": "217-709-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083706",
            "telephone_number": "918-366-9410",
            "fax_number": "918-366-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-X CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "847-315-3523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "22997",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "22997",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "100246210L",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233260N",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3715957",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCARE FLU",
            "identifier": "400522490",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-X Drug #15",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy Guest Maddox, DDS
• Brianna Maguire
• Tim Marshal, RN
• Linda Martin, LPN
• Adrienne Rene McClary
• Medstaffpc
• Medwise LLC
• Morgan Elise Mefford
• Terry L Mills, MD
• Beki Michele Mitchell, M.S., CCC-SLP

• Community/Retail Pharmacy in Bixby, OK
• Providers in Bixby, 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 Apr 5, 2017; 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.