Totaldose Chickasha LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TOTALDOSE CHICKASHA LLC

Practice address

2103 W Iowa Ave
Chickasha, OK 73018-2737

Phone

(405) 222-2273

Fax

(405) 222-2546

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

David George, PHARMD, PHD

Title

Co-Owner/Manager

Phone

(580) 284-7896

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• GRAND CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OK3 enrollments

Enrollment records 3

Tax ID family

Grand Care Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Totaldose Chickasha LLC

  • Long Term Care Pharmacy
  • Chickasha, OK
  • NPI 1376359463
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Jo Lee, RPH.

  • Pharmacist
  • Chickasha, OK
  • NPI 1306971858
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1871675124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 N EASTERN AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135860",
            "telephone_number": "580-284-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182737",
            "telephone_number": "405-222-2273",
            "fax_number": "405-222-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALDOSE CHICKASHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "580-284-7896",
        "authorized_official_credential": "PHARMD, PHD"
    },
    "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
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076449",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247460A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247460B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRAND CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandria P Thompson, APRN, FNP-C
• Deborah Tiger, LPC-C
• Lucas Cale Toho, M.D.
• Jennifer Laila Tolman, CD(DONA)
• Totaldose Chickasha LLC
• Curtis Paul Townsend, RPH
• Traditions Health Care of Chickasha, LLC
• David Albert Trevino Jr.
• Rory Troub Wiederstein, DC
• Kumudini M Vaidya, MD

• Community/Retail Pharmacy in Chickasha, OK
• Providers in Chickasha, 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 9, 2024; 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.