Sapulpa Drive in Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11-1084 Issued in OK

Legal business name

SAPULPA DRIVE IN PHARMACY

Practice address

1029 E Cleveland Ave
Sapulpa, OK 74066-4516

Phone

(918) 224-6558

Fax

(918) 227-0595

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Karen Cook, D PHNPI 1518077981

Title

Pharmacist Manager

Phone

(918) 224-6558

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• SAPULPA DRIVE IN PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Karen Marie Cook

  • Pharmacist
  • Sapulpa, OK
  • NPI 1518077981
  NPD Authorized official
• Todd Rokisky, PHARMD

  • Pharmacist
  • Sapulpa, OK
  • NPI 1669087789
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1912016148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 E CLEVELAND AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664516",
            "telephone_number": "918-224-6558",
            "fax_number": "918-227-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E CLEVELAND AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664516",
            "telephone_number": "918-224-6558",
            "fax_number": "918-227-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPULPA DRIVE IN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "918-224-6558",
        "authorized_official_credential": "D PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "11-1084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234640A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003909892",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAPULPA DRIVE IN PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon S Sandmeyer
• Toni Sanitoa
• Joyce Sanseverino
• Tera Santistevan, DPM
• Sapulpa Dentistry and Braces
• Sapulpa Kids Dental PLLC
• Sapulpa Public Schools
• Steven Sassin, B.A.
• Melissa Diane Scheef, RD
• Daniel Jacob Schelebo

• Community/Retail Pharmacy in Sapulpa, OK
• Providers in Sapulpa, 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 Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.