Olivers Express Pharmacy LLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

OLIVERS EXPRESS PHARMACY LLC

Practice address

624 N Main St
Fairview, OK 73737-1216

Phone

(580) 227-4000

NPI assigned

Jun 14, 2019

Organization subpart

Yes

Parent organization

OLIVER'S EXPRESS PHARMACYAs reported in NPPES

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

Authorized official

Name

Oliver Gary Lackey, PHARMDNPI 1144507492

Title

Owner

Phone

(580) 227-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oliver's Express Pharmacy and Hearing Aid Center Doing business as

Tax ID family

Olivers Express Pharmacy LLC2 organizations share this tax ID, including this one

Part of

Olivers Express Pharmacy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Olivers Express Pharmacy LLC

  • Community/Retail Pharmacy
  • Fairview, OK
  • NPI 1134545999
  NPD tax ID

Locations

Practitioners 1

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

• Oliver Gary Lackey, PHARM. D

  • Pharmacist
  • Fairview, OK
  • NPI 1144507492
  NPD (past) Authorized official

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1831759679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N MAIN ST",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371216",
            "telephone_number": "580-227-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 N MAIN ST",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371216",
            "telephone_number": "580-227-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVERS EXPRESS PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLIVER'S EXPRESS PHARMACY",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-227-4000",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DEALER AND FITTER",
            "identifier": "1225",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oliver's Express Pharmacy and Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheri Martens, MA CCC SLP
• Andrea Ellen McEachern, DO
• Kelly Emma McGolden
• Kimberly Miller, HIS
• Olivers Express Pharmacy LLC
• Robert a. Marti, D.D.S., a Professional Corporation
• Marilyn Ruffin
• Cassandra Lagayle Schlotthauer
• Drew Sharp
• State of Oklahoma

• Audiologist-Hearing Aid Fitter in Fairview, OK
• Providers in Fairview, OK by specialty
• Audiologist-Hearing Aid Fitter in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.