Ardmore Family Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

123470 Issued in OK

Legal business name

ARDMORE FAMILY PHARMACY

Practice address

814 W Broadway St
Ardmore, OK 73401-4527

Phone

(580) 223-7636

Fax

(580) 223-0320

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Peter Saad

Title

President

Phone

(416) 825-4430

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Reed Family Pharmacy Doing business as

Locations

Practitioners 4

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

• Brett Collin Baker, PHARMD

  • Pharmacist
  • Ardmore, OK
  • NPI 1982396305
  NPD (past)
• Paul E Reed, DPH

  • Pharmacist
  • Ardmore, OK
  • NPI 1750726246
  NPD (past)
• Rebecca Reed, D.PH.

  • Pharmacist
  • Ardmore, OK
  • NPI 1154766681
  NPD (past)
• Chelsea Marie Kemp, PHARMD

  • Pharmacist
  • Gainesville, TX
  • NPI 1689980203
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1750475166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W BROADWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734014527",
            "telephone_number": "580-223-7636",
            "fax_number": "580-223-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W BROADWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734014527",
            "telephone_number": "580-223-7636",
            "fax_number": "580-223-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDMORE FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "416-825-4430"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "123470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3717533",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003923950",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK STATE BOARD",
            "identifier": "12-5354",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3717533",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS IMMUNIZATION ROSTER BILLER",
            "identifier": "OKB5702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reed Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reed Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ardmore Family Dentistry
• Ardmore Family Health Care, PLLC
• Ardmore Hearing Aid Service, Inc
• Ardmore OBGYN, PLLC
• Ardmore Ortho Plus, LLC
• Ardmore Pet Associates
• Ardmore Physical Therapy Inc

• All providers in Ardmore, OK
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.