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SOONER PHARMACY INC OF TISHOMINGO
NPI 1891874566
Pharmacy - Community/Retail Pharmacy in Tishomingo, OK

Active since November 03, 2006
101 S BYRD ST, TISHOMINGO, OK 73460(580) 371-9509(580) 371-9252 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sooner Pharmacy Inc Of Tishomingo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOONER PHARMACY INC OF TISHOMINGO (NPI 1891874566) is a healthcare organization registered as a community/retail pharmacy in Tishomingo, Oklahoma and active in the NPI registry since November 2006. The organization lists Mike Lafevers, Pres And Mgr, as its authorized official.

NPPES Registry Identity

NPI1891874566
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOONER PHARMACY INC OF TISHOMINGO
Location Address101 S BYRD STTishomingo, OK 73460-2216
Mailing Address101 S Byrd StTishomingo, OK 73460-2216 · (580) 371-9509 · Fax (580) 371-9252
Phone(580) 371-9509
Fax(580) 371-9252
Organization SubpartNo
Authorized OfficialMike LafeversPres And Mgr · (580) 371-9509
Enumeration DateNovember 3, 2006
Last NPPES UpdateFebruary 7, 2011
✔ NPI 1891874566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OK · 61-3493
Definition

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.

Also ListedPharmacyTaxonomy 333600000X
101 S BYRD ST, Tishomingo, OK 73460
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Other Names 1

Doing Business AsSooner Pharmacy Inc Of Tishomingo

Other Identifiers 3

Medicaid100238360AOK
Other3714575Ncpdp Provider Identification Number
Medicare NSC0878360001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sooner Pharmacy Inc Of Tishomingo's NPI number?

The NPI number for Sooner Pharmacy Inc Of Tishomingo is 1891874566. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Sooner Pharmacy Inc Of Tishomingo located?

Sooner Pharmacy Inc Of Tishomingo is located at 101 S Byrd St, Tishomingo, OK 73460. The listed phone number is (580) 371-9509.

What is Sooner Pharmacy Inc Of Tishomingo's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Sooner Pharmacy Inc Of Tishomingo was last updated on February 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.