NPIMap

Organization Active NPI

Kens RX Discount Pharmacy

Doing business as Kens RX

  • Community/Retail Pharmacy
  • Lawton, OK
National Provider Identifier
1730230665
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3-5058 Issued in OK
Legal business name
KENS RX DISCOUNT PHARMACY
Doing business as
Kens RX
Practice address
802 W Gore Blvd
Lawton, OK 73501-3719
Phone
(580) 353-4113
Fax
(580) 357-3862
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Alece Newell, DPHNPI 1093867475
Title
Pharmacy Partner
Phone
(580) 353-4113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 3-5058 OK Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

802 W Gore Blvd
Lawton, OK 73501-3719

Mailing address

802 W Gore Blvd
Lawton, OK 73501-3719
Phone (580) 353-4113

Other identifiers 2

IdentifierTypeStateIssuer
100239000AMedicaidOK
2074055OtherPK

Other names 1

  • KENS RX Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1730230665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013719",
            "telephone_number": "580-353-4113",
            "fax_number": "580-357-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013719",
            "telephone_number": "580-353-4113",
            "fax_number": "580-357-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENS RX DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "ALECE",
        "authorized_official_title_or_position": "PHARMACY PARTNER",
        "authorized_official_telephone_number": "580-353-4113",
        "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": "3-5058",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239000A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074055",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENS RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KENS RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.