PERRY PHARMACY INC (NPI# 1558475665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558475665 |
| Entity Type | Organization |
| Organization Name | PERRY PHARMACY INC |
| Other Organization Name | PERRY PHARMACY |
| Practice Address |
800 Fir St Perry OK 73077-4239 |
| Practice Telephone | 5803364474 |
| Practice Fax Number | 5803360108 |
| Mailing Telephone | 5803364474 |
| Mailing Fax Number | 5803360108 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | STEPHEN ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 5803364474 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
564271 | OK | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100238040A | 05 | |
| PK | 2073060 | 01 |
| Other Name | Type Code |
|---|---|
| PERRY PHARMACY | Doing Business As Name - Organization |
| Street Address |
800 FIR ST |
| City | PERRY |
| State | OK |
| Zip Code | 73077-4239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265781488 | Jan Lanell Kukuk | Licensed Practical Nurse | 800 Fir St, Perry, OK 73077-4239 | 2012-09-04 |
| 1386757821 | Stephen Kent Anderson | Pharmacist | 800 Fir St, Perry, OK 73077-4239 | 2006-08-17 |
| 1497868947 | Tracy Shannon Anderson | Pharmacist | 800 Fir St, Perry, OK 73077-4239 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477009090 | Oklahoma State Deptartment of Health | Public Health or Welfare | 804 N. 7th St, Perry, OK 73077 | 2016-09-01 |
| 1538581699 | David Martin Reed | Physical Therapist | 1016 Fir Street, Perry, OK 73077 | 2014-01-09 |
| 1790034007 | Kayla Y. Wedel-lobsinger | Rehabilitation Counselor | 502 N. 14th St., Perry, OK 73077 | 2012-08-31 |
| 1841411683 | Angela Dawn Brand | Physical Therapist | 501 14th St N, Perry, OK 73077 | 2007-05-01 |
| 1063520260 | Perry Family Practice | Family Medicine | 505 14th St, Perry, OK 73077 | 2006-08-28 |
| 1629608641 | Brittaney Erin Ward | Peer Specialist | 501 Holly St, Perry, OK 73077-3421 | 2020-01-17 |
| 1356880876 | Bolay Speech Therapy, LLC | Speech-Language Pathologist | 804 N 7th St, Perry, OK 73077-4230 | 2017-02-16 |
| 1962941492 | Jordan L Bolay | Speech-Language Pathologist | 804 N 7th St, Perry, OK 73077-4230 | 2017-02-16 |
| 1497941439 | Lonnie Douglas Rutherford | Case Manager/Care Coordinator | 102 E Fir St, Perry, OK 73077-4900 | 2007-09-24 |
| 1508296567 | Amy Kukuk | Social Worker | 102 E Fir St, Perry, OK 73077-4900 | 2013-11-12 |
| Find all providers in zip 73077 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730283680 | Holiday Cvs LLC | Pharmacy | 105 W Hampton Springs Ave, Perry, FL 32347-4107 | 2006-09-12 |
| 1093362337 | Foster Corner Drug Long Term Care | Pharmacy | 328 N 6th St, Perry, OK 73077-6607 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
| 1245843796 | Creek Nation Hospital & Clinics | Pharmacy | 1000 Riverwalk Ter, Jenks, OK 74037-5666 | 2020-08-25 |
| 1104451095 | Oklahoma Specialty Pharmacy,llc | Pharmacy | 13921 N Meridian Ave Ste 102, Oklahoma City, OK 73134-1103 | 2020-03-11 |
| 1437797248 | Oxford Pharmacy LLC | Pharmacy | 6001 S Sooner Rd Ste B, Oklahoma City, OK 73135-5601 | 2019-12-12 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.