NPIMap

Organization Active NPI

Oklahoma Department of Veterans Norman Center

  • Long Term Care Pharmacy
  • Ardmore, OK
National Provider Identifier
1972000628
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
12-2534 Issued in OK
Legal business name
OKLAHOMA DEPARTMENT OF VETERANS NORMAN CENTER
Practice address
1015 S Commerce St
Ardmore, OK 73401-5018
Phone
(580) 223-2266
Fax
(580) 223-2266
NPI assigned
Apr 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Tina Williams
Title
Compliance Director
Phone
(405) 523-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 12-2534 OK Primary

Addresses

Primary practice location

1015 S Commerce St
Ardmore, OK 73401-5018

Mailing address

1015 S Commerce St
Ardmore, OK 73401-5018
Phone (580) 223-2266

Other identifiers 1

IdentifierTypeStateIssuer
2175900OtherPK

Other names 1

  • Ardmore Veterans Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sallisaw State Veterans Home140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

1015 S Commerce St
Ardmore, OK 73401
Phone (580) 221-5665

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1972000628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015018",
            "telephone_number": "580-223-2266",
            "fax_number": "580-223-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015018",
            "telephone_number": "580-223-2266",
            "fax_number": "580-223-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA DEPARTMENT OF VETERANS NORMAN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "405-523-4000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "12-2534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardmore Veterans Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.