Chris Isbell Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

347856 Issued in OK

Legal business name

CHRIS ISBELL PHARMACY LLC

Doing business as

Johnny's Hometown Pharmacy

Practice address

303 E Ray Fine Blvd Ste 1
Roland, OK 74954-5360

Phone

(918) 427-0400

Fax

(918) 427-0401

NPI assigned

Feb 27, 2017

Last updated

Sep 22, 2023By 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

Chris Isbell

Title

Owner

Phone

(918) 427-0400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Johnny's Hometown Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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.

• Christopher Lee Isbell, DPH

  • Pharmacist
  • Braggs, OK
  • NPI 1619155108
  NPD

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1912447806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749540408",
            "telephone_number": "918-427-0400",
            "fax_number": "918-427-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E RAY FINE BLVD STE 1",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749545360",
            "telephone_number": "918-427-0400",
            "fax_number": "918-427-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS ISBELL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "ISBELL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-427-0400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "347856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200699000A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220467407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnny's Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnny's Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Lee Campbell
• Shalee Breann Caughman, LPN
• Jennifer Leigh Chandler, LPN
• Katherine Nicole Chandler, DPT, PT
• Destiney Jade Cherry
• Bayleigh Click, RN
• Melissa Cole
• Community Wellness Clinic, LLC
• Jacey Conner
• Covenant Home Health, LLC

• Community/Retail Pharmacy in Roland, OK
• Providers in Roland, 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 Sep 22, 2023; 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.