Organization Active NPI

T V Discount Drugs Inc

Doing business as TV Discount Drugs

  • Community/Retail Pharmacy
  • Edmond, OK
National Provider Identifier
1871646026
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13863 Issued in OK
Legal business name
T V DISCOUNT DRUGS INC
Doing business as
TV Discount Drugs
Practice address
1701 E 2ND St
Edmond, OK 73034-6405
Phone
(405) 348-0220
Fax
(405) 348-0459
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Brooke Van Horn, DPH
Title
Owner
Phone
(405) 348-0220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 13863 OK Primary

Addresses

Primary practice location

1701 E 2ND St
Edmond, OK 73034-6405

Mailing address

1701 E 2ND St
Edmond, OK 73034-6405
Phone (405) 348-0220

Other identifiers 2

IdentifierTypeStateIssuer
2073602OtherPK
100233220BMedicaidOK

Other names 1

  • TV DISCOUNT DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

112 W Oklahoma Ave
Guthrie, OK 73044
Phone (405) 282-2700

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1871646026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E 2ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346405",
            "telephone_number": "405-348-0220",
            "fax_number": "405-348-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 2ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346405",
            "telephone_number": "405-348-0220",
            "fax_number": "405-348-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T V DISCOUNT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "VAN HORN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-348-0220",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "13863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073602",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233220B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TV DISCOUNT DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.