Luckie Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

495519 Issued in OK

Legal business name

LUCKIE DRUG LLC

Doing business as

Luckie Drug

Practice address

116 N Main St
Okeene, OK 73763-9446

Phone

(580) 822-3789

Fax

(580) 822-3136

NPI assigned

Oct 30, 2006

Last updated

Nov 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim LuckieNPI 1033120498

Title

Owner

Phone

(580) 822-3789

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LUCKIE DRUG Doing business as

Locations

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.

• Jim W Luckie, DPH.

  • Pharmacist
  • Okeene, OK
  • NPI 1033120498
  NPD (past) Authorized official

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1902982267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "737630549",
            "telephone_number": "580-822-3789",
            "fax_number": "580-822-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "737639446",
            "telephone_number": "580-822-3789",
            "fax_number": "580-822-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKIE DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "LUCKIE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-822-3789"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "495519",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134003",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCKIE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kadree Ann Giblet
• Mason Ray Howe, MD
• Jeremy Michael Hurford, PA-C
• James Sims MSN RN Arnp LLC
• Henry D Lagan, M.D.
• Jim W Luckie, DPH.
• Okeene Dentistry & Braces
• Okeene Municipal Hospital and Schallmo Authority (Okeene Hospital Medical Clinic)
• Okeene Municipal Hospital and Schallmo Authority (Okeene Municipal Hospital)
• Okeene Municipal Hospital and Schallmo Authority (Okeene Municipal Hospital)

• Community/Retail Pharmacy in Okeene, OK
• Providers in Okeene, 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 Nov 18, 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.