Organization Active NPI

Miller-McClung Inc.

Doing business as Medicap Pharmacy

  • Community/Retail Pharmacy
  • Lawton, OK
National Provider Identifier
1841236494
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3-5223 Issued in OK
Legal business name
MILLER-MCCLUNG INC.
Doing business as
Medicap Pharmacy
Practice address
12 NW Sheridan Rd
Lawton, OK 73505-6304
Phone
(580) 248-7360
Fax
(580) 248-7589
NPI assigned
Jun 21, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Susan Louise McClung, D.PH., C.PEDNPI 1275576399
Title
Pharmacist/Owner
Phone
(580) 248-7360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3-5223 OK
Community/Retail Pharmacy 3336C0003X 3-5223 OK Primary

Addresses

Primary practice location

12 NW Sheridan Rd
Lawton, OK 73505-6304

Mailing address

12 NW Sheridan Rd
Lawton, OK 73505-6304
Phone (580) 248-7360

Other identifiers 1

IdentifierTypeStateIssuer
3721518OtherOKNCPDP #

Other names 1

  • Medicap Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1204 NW Sheridan Rd
Lawton, OK 73505
Phone (580) 248-7360

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1841236494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056304",
            "telephone_number": "580-248-7360",
            "fax_number": "580-248-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056304",
            "telephone_number": "580-248-7360",
            "fax_number": "580-248-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER-MCCLUNG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCCLUNG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "580-248-7360",
        "authorized_official_credential": "D.PH., C.PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "3-5223",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "3-5223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3721518",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.