Organization Active NPI

Guthrie Pharmacy Inc

  • Community/Retail Pharmacy
  • Guthrie, OK
National Provider Identifier
1780988907
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
32-5603 Issued in OK
Legal business name
GUTHRIE PHARMACY INC
Practice address
102 W Noble Ave
Guthrie, OK 73044-3123
Phone
(405) 282-7800
Fax
(405) 282-2244
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
John Douglas Lassiter, D.PH.NPI 1003110586
Title
Owner
Phone
(405) 677-0549

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 32-5603 OK Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

102 W Noble Ave
Guthrie, OK 73044-3123

Mailing address

102 W Noble Ave
Guthrie, OK 73044-3123
Phone (405) 282-7800

Other identifiers 2

IdentifierTypeStateIssuer
200321850AMedicaidOK
2128912OtherPK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1780988907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W NOBLE AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443123",
            "telephone_number": "405-282-7800",
            "fax_number": "405-282-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W NOBLE AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443123",
            "telephone_number": "405-282-7800",
            "fax_number": "405-282-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-677-0549",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "32-5603",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding 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": "200321850A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.