Raney Drug PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RANEY DRUG PLLC

Practice address

1106 SE Washington St
Idabel, OK 74745-3442

Phone

(580) 208-2400

Fax

(580) 208-2401

NPI assigned

Oct 10, 2006

Last updated

Aug 8, 2014By 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

Bradley Hulen Raney, DPHNPI 1639269509

Title

Owner

Phone

(580) 208-2400

Specialties & licenses 5

Addresses

Other identifiers 2

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.

• Bradley Hulen Raney, DPH

  • Pharmacist
  • Idabel, OK
  • NPI 1639269509
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1841388634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SE WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747453442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SE WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747453442",
            "telephone_number": "580-208-2400",
            "fax_number": "580-208-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANEY DRUG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "RANEY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "HULEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-208-2400",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "254731",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "25-4731",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200015850A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3723740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Medical Rental Corp
• Melissa Provence
• Providence Service Corporation of Oklahoma
• Quick Med
• Ralls Enterprises Inc (Palace Drug)
• Bradley Hulen Raney, DPH
• Sendi Dean Raney, OT
• Autumn Regan
• Reonda Rice, LPN
• Toya Robbins, WELLNESS COACH

• Community/Retail Pharmacy in Idabel, OK
• Providers in Idabel, 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 Aug 8, 2014; 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.