New Spring Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-7751 Issued in OK

Legal business name

NEW SPRING PHARMACY, LLC

Practice address

3462 W 151St St S
Kiefer, OK 74041-4549

Phone

(918) 938-0440

Fax

(918) 938-0543

NPI assigned

Sep 27, 2016

Last updated

Jul 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Rackley

Title

President

Phone

(918) 938-0440

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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.

• Misty Dawn Perez, PHARM D

  • Pharmacist
  • Clarksville, TX
  • NPI 1467761536
  NPD

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1821547134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3462 W 151ST ST S",
            "city": "KIEFER",
            "state": "OK",
            "postal_code": "740414549",
            "telephone_number": "918-938-0440",
            "fax_number": "918-938-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3462 W 151ST ST S",
            "city": "KIEFER",
            "state": "OK",
            "postal_code": "740414549",
            "telephone_number": "918-938-0440",
            "fax_number": "918-938-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SPRING PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "RACKLEY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-938-0440"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "2-7751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200671740A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Easton
• Heather Dawn Flores
• Kiefer Public Schools
• Eliana Quintero
• Schier Company, Inc. (Heavenly Valley)
• Dana Taylor

• Community/Retail Pharmacy in Kiefer, OK
• Providers in Kiefer, 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 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.