Active NPI
Central Oklahoma Family Medical Center, Inc.
Doing business as The Clinic Pharmacy on Arlington
- Community/Retail Pharmacy
- Ada, OK
National Provider Identifier
1962509802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 23-6131
- Legal business name
- CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
- Doing business as
- The Clinic Pharmacy on Arlington
Tradition Drug - Practice address
- 1131 Arlington St
Ada, OK 74820-4038 - Phone
- (580) 332-5720
- Fax
- (580) 332-5724
- NPI assigned
- Sep 20, 2006
- Last updated
- Oct 7, 2025
- Organization subpart
- Yes
- Parent organization
- CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Ware
- Title
- Ceo
- Phone
- (580) 436-5111
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 23-6131 | OK | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1131 Arlington St
Ada, OK 74820-4038
Mailing address
1131 Arlington St
Ada, OK 74820-4038
Phone (580) 332-5720
Other names 2
- THE CLINIC PHARMACY ON ARLINGTON
- Tradition Drug
National Provider Directory
National Provider Directory- Tax ID family
- Cletas Cottage Day Treatment Center
- Part of
- Cletas Cottage Day Treatment Center
Other organizations with this tax ID 31
Organizations that report the same tax identification number in the National Provider Directory.
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- Mental Health Clinic/Center (Including Community Mental Health Center)
- Noble, OK
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-
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-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prague, OK
- NPI 1720290539
-
dba The Pharmacy at Central Oklahoma Family Medical Center
- Clinic Pharmacy
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- NPI 1205540101
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Konawa, OK
- NPI 1215196340
-
- Federally Qualified Health Center (FQHC)
- Konawa, OK
- NPI 1306973094
-
- Registered Nurse
- Konawa, OK
- NPI 1407015530
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prague, OK
- NPI 1598911752
-
- Case Management Agency
- Konawa, OK
- NPI 1659530780
-
- Respite Care
- Konawa, OK
- NPI 1730347329
-
- Developmentally Disabled Services Day Training Agency
- Konawa, OK
- NPI 1952569808
-
- Federally Qualified Health Center (FQHC)
- Ada, OK
- NPI 1023868528
Locations
1131 Arlington St
Ada, OK 74820
Phone (580) 332-5720
1414 Arlington St
Ste 2000
Ada, OK 74820
Phone (580) 279-6901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1962509802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 ARLINGTON ST",
"city": "ADA",
"state": "OK",
"postal_code": "748204038",
"telephone_number": "580-332-5720",
"fax_number": "580-332-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 ARLINGTON ST",
"city": "ADA",
"state": "OK",
"postal_code": "748204038",
"telephone_number": "580-332-5720",
"fax_number": "580-332-5724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTRAL OKLAHOMA FAMILY MEDICAL CENTER",
"enumeration_date": "2006-09-20",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "WARE",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "580-436-5111"
},
"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": "23-6131",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE CLINIC PHARMACY ON ARLINGTON",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tradition Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ada, OK
- Central Oklahoma Family Medical Center, Inc
- Central Oklahoma Family Medical Center, Inc
- Central Oklahoma Family Medical Center, Inc.
- Central Oklahoma Family Medical Center, Inc.
- Central Oklahoma Family Medical Center, Inc. (Central Oklahoma Family Medical Center Ada Pharmacy)
- Central Oklahoma Family Medical Center, Inc.
- Sherri R Chandler, MS
- Toni Chappell, B.A.
- Dan Charboneau, PHYSICAL THERAPIST
- Roger John Charboneau, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.