Organization Active NPI

Harrah Pharmacy Inc.

Doing business as Harrah Pharmacy

  • Community/Retail Pharmacy
  • Harrah, OK
National Provider Identifier
1942368667
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Authorized official

Name
Mrs. Alyssa Casey, PHARMDNPI 1518534973
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2074286OtherPK
100240390AMedicaidOK

Other names 1

  • Harrah Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000593 OK Part B Supplier - Mass Immunization (Roster Biller Only) 7012037864 Practice locations: Harrah, OK

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.