NPIMap

Organization Active NPI

State of Oklahoma

Doing business as Lawton Veterans Center

  • Long Term Care Pharmacy
  • Lawton, OK
National Provider Identifier
1902063902
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
3-4725 Issued in OK
Legal business name
STATE OF OKLAHOMA
Doing business as
Lawton Veterans Center
Practice address
501 SE Flower Mound Rd
Lawton, OK 73501-6388
Phone
(580) 351-6511
Fax
(580) 351-6511
NPI assigned
May 19, 2008
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Tina Williams
Title
Compliance Director
Phone
(405) 523-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 3-4725 OK Primary

Addresses

Primary practice location

501 SE Flower Mound Rd
Lawton, OK 73501-6388

Mailing address

501 SE Flower Mound Rd
Lawton, OK 73501-6388
Phone (580) 351-6511

Other identifiers 1

IdentifierTypeStateIssuer
2176125OtherPK

Other names 1

  • Lawton Veterans Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carl Albert Community M140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1902063902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SE FLOWER MOUND RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016388",
            "telephone_number": "580-351-6511",
            "fax_number": "580-351-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SE FLOWER MOUND RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016388",
            "telephone_number": "580-351-6511",
            "fax_number": "580-351-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "405-523-4000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "3-4725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176125",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawton Veterans Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.