Organization Active NPI

Fishers Central Drug Store Inc

  • Community/Retail Pharmacy
  • Stillwater, OK
National Provider Identifier
1962593566
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8-4039 Issued in OK
Legal business name
FISHERS CENTRAL DRUG STORE INC
Practice address
722 S Main St
Stillwater, OK 74074-4668
Phone
(405) 372-6120
Fax
(405) 372-2833
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Stephen C. Bayer, PHARM D
Title
Pic
Phone
(405) 372-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8-4039 OK Primary

Addresses

Primary practice location

722 S Main St
Stillwater, OK 74074-4668

Mailing address

722 S Main St
Stillwater, OK 74074-4668
Phone (405) 372-6120

Other identifiers 1

IdentifierTypeStateIssuer
100237050AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962593566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744668",
            "telephone_number": "405-372-6120",
            "fax_number": "405-372-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744668",
            "telephone_number": "405-372-6120",
            "fax_number": "405-372-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHERS CENTRAL DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "405-372-6120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "8-4039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100237050A",
            "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 Mar 7, 2023; 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.