Dougherty's Pharmacy McAlester, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15-7361 Issued in OK

Legal business name

DOUGHERTY'S PHARMACY MCALESTER, LLC

Doing business as

The Medicine Shoppe Pharmacy

Practice address

622 E Wyandotte Ave
McAlester, OK 74501-5426

Phone

(918) 426-5223

Fax

(918) 426-3630

NPI assigned

Aug 19, 2015

Last updated

May 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terrence Dewitt

Title

Ceo

Phone

(254) 722-7912

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1720454218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E WYANDOTTE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015426",
            "telephone_number": "918-426-5223",
            "fax_number": "918-426-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E WYANDOTTE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015426",
            "telephone_number": "918-426-5223",
            "fax_number": "918-426-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGHERTY'S PHARMACY MCALESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-722-7912"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "15-7361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154304",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nick Dodson, BHRS
• Kierstin Dominick
• Grady David Donathan III, DDS
• Stephanie R Donato, M.A, LPC UNDER SUPER
• Gladys Rosann Dosch, RN, IBCLC
• Savannah Chantae Doughty, APRN
• Douglas Counseling
• Carla Sue Douglas, PTA
• Lori Douglas
• Samantha Janiece Douglas, APRN, FNP-C

• Community/Retail Pharmacy in McAlester, OK
• Providers in McAlester, 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 May 7, 2021; 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.