Active NPI
Guthrie Pharmacy Inc
- Community/Retail Pharmacy
- Guthrie, OK
National Provider Identifier
1780988907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 32-5603
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Douglas Lassiter, D.PH.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200321850A | Medicaid | OK | |
| 2128912 | Other | PK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Guthrie, OK
- NPI 1003110586
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.