NPIMap

Organization Active NPI

Family Health Center of Southern Oklahoma Inc

  • Community/Retail Pharmacy
  • Atoka, OK
National Provider Identifier
1720819725
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
Practice address
457 S Mississippi Ave
Atoka, OK 74525-2500
Phone
(580) 207-3800
Fax
(580) 207-3801
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Joe D Burns, D.PH
Title
Pharmacy Director
Phone
(580) 371-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

457 S Mississippi Ave
Atoka, OK 74525-2500

Mailing address

610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 371-0203

Other names 2

  • Family Health Center of Southern Oklahoma Doing business as
  • Family Health Center of Southern Oklahoma Pharmacy Atoka Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Health Center of Southern Oklahoma Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

457 S Mississippi Ave
Atoka, OK 74525
Phone (580) 207-3800

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1720819725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-371-0203",
            "fax_number": "580-371-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 S MISSISSIPPI AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252500",
            "telephone_number": "580-207-3800",
            "fax_number": "580-207-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "580-371-0203",
        "authorized_official_credential": "D.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center of Southern Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Health Center of Southern Oklahoma Pharmacy Atoka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.