Organization Active NPI

Hawkins Pharmacy PC

Doing business as Smith Drug

  • Community/Retail Pharmacy
  • Cherokee, OK
National Provider Identifier
1952459950
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
62-4750 Issued in OK
Legal business name
HAWKINS PHARMACY PC
Doing business as
Smith Drug
Practice address
121 S Grand Ave
Cherokee, OK 73728-2028
Phone
(580) 596-2411
Fax
(580) 596-2471
NPI assigned
Jan 8, 2007
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Hawkins L Damon
Title
President
Phone
(580) 596-2411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 62-4750 OK Primary

Addresses

Primary practice location

121 S Grand Ave
Cherokee, OK 73728-2028

Mailing address

121 S Grand Ave
Cherokee, OK 73728-2028
Phone (580) 596-2411

Other identifiers 2

IdentifierTypeStateIssuer
2072702OtherPK
100233860AMedicaidOK

Other names 1

  • SMITH DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930061400 OK DME Supplier - Pharmacy 6709094113 Practice locations: Cherokee, OK
O20190509001404 OK Part B Supplier - Mass Immunization (Roster Biller Only) 6709094113 Practice locations: Cherokee, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Smith Drug121 S Grand Ave, Cherokee, OK 73728-2028(580) 596-2411 Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory

Locations

121 S Grand Ave
Cherokee, OK 73728
Phone (580) 596-2411

Practitioners & affiliated clinicians

Practitioners 2

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1952459950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S GRAND AVE",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737282028",
            "telephone_number": "580-596-2411",
            "fax_number": "580-596-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S GRAND AVE",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737282028",
            "telephone_number": "580-596-2411",
            "fax_number": "580-596-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKINS PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-10-30",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "DAMON",
        "authorized_official_first_name": "HAWKINS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-596-2411"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "62-4750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072702",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITH DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherokee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.