Active NPI
LTRX Inc.
Doing business as Dennis' Express Pharmacy
- Community/Retail Pharmacy
- Kingfisher, OK
National Provider Identifier
1942385075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 544195
- Legal business name
- LTRX INC.
- Doing business as
- Dennis' Express Pharmacy
- Practice address
- 1308 S. Main Street
Kingfisher, OK 73750 - Phone
- (405) 375-5400
- Fax
- (405) 375-6333
- NPI assigned
- Oct 26, 2006
- Last updated
- Mar 24, 2020
- 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
- Christy Schellenberg, CPA
- Title
- Owner
- Phone
- (405) 375-5400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 544195 | OK | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1308 S. Main Street
Kingfisher, OK 73750
Mailing address
1308 S. Main Street
Kingfisher, OK 73750
Phone (405) 375-5400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2073485 | Other | PK | |
| 100245310A | Medicaid | OK | |
| 100245310B | Medicaid | OK |
Other names 1
- Dennis' Express 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 |
|---|---|---|---|---|
| O20201007001376 | OK | Part B Supplier - Pharmacy | 4486073608 | Practice locations: Kingfisher, OK |
National Provider Directory
National Provider Directory- Tax ID family
- Dennis' Express Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Kingfisher, OK
- NPI 1700344587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585008000000",
"number": "1942385075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 S. MAIN STREET",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "73750",
"telephone_number": "405-375-5400",
"fax_number": "405-375-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 S. MAIN STREET",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "73750",
"telephone_number": "405-375-5400",
"fax_number": "405-375-6333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LTRX INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A",
"authorized_official_last_name": "SCHELLENBERG",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-375-5400",
"authorized_official_credential": "CPA"
},
"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": "544195",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2073485",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100245310A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100245310B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dennis' Express Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingfisher, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.