Organization Active NPI

Razook's Drug

  • Community/Retail Pharmacy
  • Stillwater, OK
National Provider Identifier
1952345027
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8-2789 Issued in OK
Legal business name
RAZOOK'S DRUG
Practice address
1518 W 9TH Ave
Stillwater, OK 74074-5468
Phone
(405) 377-4445
Fax
(405) 377-4448
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Mrs. Lisa Hladik
Title
Manager
Phone
(405) 377-4445

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8-2789 OK Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1518 W 9TH Ave
Stillwater, OK 74074-5468

Mailing address

1518 W 9TH Ave
Stillwater, OK 74074-5468
Phone (405) 377-4445

Other identifiers 4

IdentifierTypeStateIssuer
100633130AMedicaidOK
100238670AMedicaidOK
100807540AMedicaidOK
100682640AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1518 W 9th Ave
Stillwater, OK 74074
Phone (405) 377-4445

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1952345027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 W 9TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745468",
            "telephone_number": "405-377-4445",
            "fax_number": "405-377-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 W 9TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745468",
            "telephone_number": "405-377-4445",
            "fax_number": "405-377-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZOOK'S DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "HLADIK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-377-4445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "8-2789",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100633130A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238670A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100807540A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100682640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.