D & D Pharmacy Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

D & D PHARMACY INCORPORATED

Practice address

1940 N Broadway St
Poteau, OK 74953-2638

Phone

(918) 647-3137

Fax

(918) 647-2977

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Doug Horne

Title

Owner

Phone

(918) 647-3137

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 2

• D & D Pharmacy Doing business as
• D AND D PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• D & D Pharmacy Incorporated

  • Community/Retail Pharmacy
  • Heavener, OK
  • NPI 1235850421

  O20120208000574

  Same enrollment

Tax ID family

DD Pharmacy Incorporated3 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.

• D & D Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Poteau, OK
  • NPI 1003033507
  NPD tax ID
• D & D Pharmacy Incorporated

  • Community/Retail Pharmacy
  • Heavener, OK
  • NPI 1235850421
  NPD tax ID

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1861573016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532638",
            "telephone_number": "918-647-3137",
            "fax_number": "918-647-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & D PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-647-3137"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073454",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234490B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D & D Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D AND D PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Lee Cummins, MBS LPC
• Kimberlee Rae Curd, PHARMD
• Francine Denise Curnutt, M. ED. LPC CANDIDATE
• Heather Curry
• D & D Pharmacy
• Brenda Dalton
• Brenda Yvonne Daniels, CCC-SLP
• David L Roberts O D P C
• Jennifer Darlene Davies, BA
• Kathy Lynn Davies, MED

• Community/Retail Pharmacy in Poteau, OK
• Providers in Poteau, 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 Oct 18, 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.