Organization Active NPI

TV Discount Drug Inc

Doing business as Marks Drug

  • Community/Retail Pharmacy
  • Guthrie, OK
National Provider Identifier
1801936059
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
323209 Issued in OK
Legal business name
TV DISCOUNT DRUG INC
Doing business as
Marks Drug
Practice address
112 W Oklahoma Ave
Guthrie, OK 73044-3130
Phone
(405) 282-2700
Fax
(405) 282-4715
NPI assigned
Feb 7, 2007
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Brooke Van Horn, DPH
Title
Owner
Phone
(405) 348-0220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 323209 OK Primary

Addresses

Primary practice location

112 W Oklahoma Ave
Guthrie, OK 73044-3130

Mailing address

112 W Oklahoma Ave
Guthrie, OK 73044-3130
Phone (405) 282-2700

Other identifiers 2

IdentifierTypeStateIssuer
2072797OtherPK
100233220AMedicaidOK

Other names 1

  • MARKS DRUG Doing business as

National Provider Directory

National Provider Directory

Locations

1701 E 2nd St
Edmond, OK 73034
Phone (405) 348-0220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1801936059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W OKLAHOMA AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443130",
            "telephone_number": "405-282-2700",
            "fax_number": "405-282-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W OKLAHOMA AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443130",
            "telephone_number": "405-282-2700",
            "fax_number": "405-282-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TV DISCOUNT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "VAN HORN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-348-0220",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "323209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072797",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARKS DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 12, 2015; 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.