Organization Active NPI

The Script Shop Inc

  • Pharmacist
  • Konawa, OK
National Provider Identifier
1982733317
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
244253 Issued in OK
Legal business name
THE SCRIPT SHOP INC
Practice address
207 N Broadway St
Konawa, OK 74849-2234
Phone
(580) 925-3201
Fax
(580) 925-3729
NPI assigned
Mar 2, 2007
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
Dr. James Colvin Kelley, D.PH.
Title
President Pharmacist
Phone
(580) 925-2106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 244253 OK Primary

Addresses

Primary practice location

207 N Broadway St
Konawa, OK 74849-2234

Mailing address

207 N Broadway St
Konawa, OK 74849-2234
Phone (580) 925-3201

Other identifiers 2

IdentifierTypeStateIssuer
244253OtherOKSTATE LICENSE
3711923OtherOKNCPDP

National Provider Directory

National Provider Directory

Locations

207 N Broadway St
Konawa, OK 74849
Phone (580) 925-3201

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1982733317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BROADWAY ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748492234",
            "telephone_number": "580-925-3201",
            "fax_number": "580-925-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N BROADWAY ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748492234",
            "telephone_number": "580-925-3201",
            "fax_number": "580-925-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SCRIPT SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "COLVIN",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "580-925-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "244253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "244253",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3711923",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Konawa, 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.