Lawton Heritage Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3-7866 Issued in OK

Legal business name

LAWTON HERITAGE PHARMACY INC

Practice address

12 NW Sheridan Rd
Lawton, OK 73505-6304

Phone

(580) 354-9860

Fax

(580) 354-9818

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Leeann Curet

Title

Manager

Phone

(580) 354-9860

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lawton Heritage Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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

• Leeann Cox, DPH

  • Pharmacist
  • Lawton, OK
  • NPI 1801166806
  NPD
• Shonda Kay Lassiter, D.PH.

  • Pharmacist
  • Del City, OK
  • NPI 1952872954
  NPD

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1881970374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053644",
            "telephone_number": "580-354-9860",
            "fax_number": "580-354-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056304",
            "telephone_number": "580-354-9860",
            "fax_number": "580-354-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWTON HERITAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "CURET",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-354-9860"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "3-7866",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200411100A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132698",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawton Heritage Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lawton Heritage Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lawton IHS Pharmacy
• Lawton Independent School District
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• Lawton Indian Hospital
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• Community/Retail Pharmacy in Lawton, OK
• Providers in Lawton, 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 Feb 24, 2020; 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.