Active NPI
Kirk McGowen, PHARM D
- Pharmacist
- Blanchard, OK
National Provider Identifier
1891530192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13277
- Practice address
- 301 NE 10TH St
Blanchard, OK 73010-9817 - Phone
- (405) 485-9311
- NPI assigned
- Jun 27, 2024
- Last updated
- Jun 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13277 | OK | Primary |
Addresses
Primary practice location
301 NE 10TH St
Blanchard, OK 73010-9817
Mailing address
13432 Ropers Ave
Wayne, OK 73095-3261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13277 | OK | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharm Blanchard Acquisition LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Red Cross Drug
- Community/Retail Pharmacy
- Blanchard, OK
- NPI 1659451953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1891530192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13432 ROPERS AVE",
"city": "WAYNE",
"state": "OK",
"postal_code": "730953261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 NE 10TH ST",
"city": "BLANCHARD",
"state": "OK",
"postal_code": "730109817",
"telephone_number": "405-485-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWEN",
"first_name": "KIRK",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blanchard, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.