Organization Active NPI

Physicians & Surgeons Pharmacy Inc

  • Community/Retail Pharmacy
  • Norman, OK
National Provider Identifier
1821185448
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
71771 Issued in OK
Legal business name
PHYSICIANS & SURGEONS PHARMACY INC
Practice address
900 N Porter Ave
Suite 101
Norman, OK 73071-6425
Phone
(405) 364-5222
Fax
(405) 364-7076
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Gary Clinton, BS PHARMACY
Title
Owner
Phone
(405) 307-2155

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 71771 OK Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

900 N Porter Ave
Suite 101
Norman, OK 73071-6425

Mailing address

900 N Porter Ave
Suite 101
Norman, OK 73071-6425
Phone (405) 364-5222

Other identifiers 3

IdentifierTypeStateIssuer
2074141OtherPK
100234860BMedicaidOK
100234860AMedicaidOK

Other names 1

  • PHYSICIANS AND SURGEONS PHARMACY Doing business as

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1821185448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N PORTER AVE",
            "address_2": "SUITE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716425",
            "telephone_number": "405-364-5222",
            "fax_number": "405-364-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N PORTER AVE",
            "address_2": "SUITE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716425",
            "telephone_number": "405-364-5222",
            "fax_number": "405-364-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS & SURGEONS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-307-2155",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "71771",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074141",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234860B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS AND SURGEONS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.