Active NPI
Harrah Pharmacy Inc.
Doing business as Harrah Pharmacy
- Community/Retail Pharmacy
- Harrah, OK
National Provider Identifier
1942368667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HARRAH PHARMACY INC.
- Doing business as
- Harrah Pharmacy
- Practice address
- 2060 N Church
Harrah, OK 73045-0247 - Phone
- (405) 454-2476
- Fax
- (405) 454-3507
- NPI assigned
- Dec 5, 2006
- Last updated
- Jun 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Alyssa Casey, PHARMD
- Title
- President
- Phone
- (405) 454-2476
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 13198 | OK | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2060 N Church
Harrah, OK 73045-0247
Mailing address
PO Box 247
Harrah, OK 73045-0247
Phone (405) 454-2476
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2074286 | Other | PK | |
| 100240390A | Medicaid | OK |
Other names 1
- Harrah Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120416000593 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 7012037864 | Practice locations: Harrah, OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Harrah, OK
- NPI 1518534973
-
- Pharmacist
- Harrah, OK
- NPI 1063092773
-
- Nutrition Support Pharmacist
- Harrah, OK
- NPI 1659485118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559606400000",
"number": "1942368667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "HARRAH",
"state": "OK",
"postal_code": "730450247",
"telephone_number": "405-454-2476",
"fax_number": "405-454-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 N CHURCH",
"city": "HARRAH",
"state": "OK",
"postal_code": "730450247",
"telephone_number": "405-454-2476",
"fax_number": "405-454-3507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRAH PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2019-06-04",
"status": "A",
"authorized_official_last_name": "CASEY",
"authorized_official_first_name": "ALYSSA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-454-2476",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "13198",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2074286",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100240390A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harrah Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.