Organization Active NPI

Onesource LLC

Doing business as OneSource

  • Community/Retail Pharmacy
  • Calera, OK
National Provider Identifier
1841546249
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27-7897 Issued in OK
Legal business name
ONESOURCE LLC
Doing business as
OneSource
Practice address
213 E Main St Ste 100
Calera, OK 74730-2102
Phone
(580) 279-6001
Fax
(580) 434-6250
NPI assigned
Aug 3, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tony Hudgins
Title
President
Phone
(580) 279-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27-7897 OK Primary

Addresses

Primary practice location

213 E Main St Ste 100
Calera, OK 74730-2102

Mailing address

31 Liberty St
Calera, OK 74730-5519
Phone (580) 302-2322

Other identifiers 2

IdentifierTypeStateIssuer
2136329OtherPK
200447310AMedicaidOK

Other names 1

  • OneSource Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Onesource3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841546249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LIBERTY ST",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747305519",
            "telephone_number": "580-302-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E MAIN ST STE 100",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747302102",
            "telephone_number": "580-279-6001",
            "fax_number": "580-434-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONESOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUDGINS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-279-6001"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "27-7897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136329",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200447310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OneSource",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calera, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.