Organization Active NPI

Mangum Drug Co. LLC

Doing business as Mangum Drug Co.

  • Community/Retail Pharmacy
  • Mangum, OK
National Provider Identifier
1992350524
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MANGUM DRUG CO. LLC
Doing business as
Mangum Drug Co.
Practice address
109 S Oklahoma Ave
Mangum, OK 73554-4219
Phone
(580) 782-2195
Fax
(580) 706-6020
NPI assigned
Aug 9, 2019
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Dr. Katherine Murray, PHARMDNPI 1487069860
Title
Owner
Phone
(405) 388-4568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

109 S Oklahoma Ave
Mangum, OK 73554-4219

Mailing address

PO Box 158
Granite, OK 73547-0158

Other names 1

  • Mangum Drug Co. Doing business as

National Provider Directory

National Provider Directory

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": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1992350524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "GRANITE",
            "state": "OK",
            "postal_code": "735470158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S OKLAHOMA AVE",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735544219",
            "telephone_number": "580-782-2195",
            "fax_number": "580-706-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGUM DRUG CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-388-4568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mangum Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mangum Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mangum, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.