NPIMap

Organization Active NPI

Texoma Medical Services Inc

Doing business as Western Drug #4

  • Community/Retail Pharmacy
  • Clinton, OK
National Provider Identifier
1982668778
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28-4956 Issued in OK
Legal business name
TEXOMA MEDICAL SERVICES INC
Doing business as
Western Drug #4
Practice address
2008 W Gary Blvd
Clinton, OK 73601-5302
Phone
(580) 323-1136
Fax
(580) 323-1821
NPI assigned
Apr 17, 2006
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Ross Foster, PHDNPI 1972060911
Title
Pharmacist
Phone
(580) 323-1136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 28-4956 OK Primary

Addresses

Primary practice location

2008 W Gary Blvd
Clinton, OK 73601-5302

Mailing address

PO Box 236
Taloga, OK 73667-0236
Phone (580) 328-5208

Other identifiers 2

IdentifierTypeStateIssuer
100846370IMedicaidOK
2076578OtherPK

Other names 1

  • WESTERN DRUG #4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Texoma Medical Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

2008 W Gary Blvd
Clinton, OK 73601
Phone (580) 323-1136

Practitioners & affiliated clinicians

Practitioners 1

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1982668778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "TALOGA",
            "state": "OK",
            "postal_code": "736670236",
            "telephone_number": "580-328-5208",
            "fax_number": "580-328-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 W GARY BLVD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736015302",
            "telephone_number": "580-323-1136",
            "fax_number": "580-323-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "580-323-1136",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "28-4956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100846370I",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076578",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTERN DRUG #4",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WESTERN DRUG #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.