Charlies Discount Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8-2209 Issued in OK

Legal business name

CHARLIES DISCOUNT DRUG INC

Practice address

723 S Walnut St
Stillwater, OK 74074-4224

Phone

(405) 624-3535

Fax

(405) 624-3536

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Debbi HernandezNPI 1376697227

Title

Pres

Phone

(405) 624-3535

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CHARLIES DISCOUNT DRUG INC Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Debbi L Hernandez, DPH

  • Pharmacist
  • Stillwater, OK
  • NPI 1376697227
  NPD Authorized official
• Lance Reece, D.PH.

  • Pharmacist
  • Stillwater, OK
  • NPI 1376743286
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1811080252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S WALNUT ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744224",
            "telephone_number": "405-624-3535",
            "fax_number": "405-624-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S WALNUT ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744224",
            "telephone_number": "405-624-3535",
            "fax_number": "405-624-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIES DISCOUNT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "405-624-3535"
    },
    "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": "8-2209",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073667",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLIES DISCOUNT DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Dawn Champlain, R.N.
• Monique Chancellor
• Chanda a. Kennemer, DDS, PC
• Amar Chandra, DPM
• Angela H. Chang, MD
• Cayla Marie Checorski
• Angie Chen, APRN AGNP
• Cherish Life Services
• Jennifer Pauline Childers, L.C.S.W
• Camren Childs

• Community/Retail Pharmacy in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.