NPIMap

Organization Active NPI

1St Pharmacy Corp

Doing business as DBA: Lawton Family Pharmacy

  • Pharmacy
  • Lawton, OK
National Provider Identifier
1942366430
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
34605 Issued in OK
Legal business name
1ST PHARMACY CORP
Doing business as
DBA: Lawton Family Pharmacy
Practice address
2702 W. Gore Blvd.
Lawton, OK 73505
Phone
(580) 353-0760
Fax
(580) 353-1411
NPI assigned
Dec 29, 2006
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Mrs. Janis A Nall
Title
Owner
Phone
(940) 648-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 34605 OK Primary

Addresses

Primary practice location

2702 W. Gore Blvd.
Lawton, OK 73505

Mailing address

2702 W. Gore Blvd.
Lawton, OK 73505
Phone (580) 353-0760

Other identifiers 3

IdentifierTypeStateIssuer
34605OtherOKOKLAHOMA PHARMACY LICENSE
3705653OtherOKNABP
100241550AMedicaidOK

Other names 1

  • DBA: Lawton Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1St Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1942366430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 W. GORE BLVD.",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-353-0760",
            "fax_number": "580-353-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 W. GORE BLVD.",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-353-0760",
            "fax_number": "580-353-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "NALL",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-648-2222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "34605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA PHARMACY LICENSE",
            "identifier": "34605",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3705653",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100241550A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Lawton Family Pharmacy",
            "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 Jan 8, 2010; 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.