Active NPI
Physicians & Surgeons Pharmacy Inc
- Community/Retail Pharmacy
- Norman, OK
National Provider Identifier
1821185448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 71771
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2074141 | Other | PK | |
| 100234860B | Medicaid | OK | |
| 100234860A | Medicaid | OK |
Other names 1
- PHYSICIANS AND SURGEONS PHARMACY
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
- Norman, OK
- NPI 1013004647
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.