Organization
JOHNNYS HOMETOWN PHARMACY PC
Active
Other names
JOHNNYS HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY ROBERTS (PRESIDENT)
(918) 427-0400
Entity
Organization
Contact information
Practice address
303 E RAY FINE BLVD, STE 100, ROLAND, OK 74954-5362
(918) 427-0400
(918) 427-0401
Mailing address
PO BOX 1600, ROLAND, OK 74954-1600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
343841
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243100A
—
OK
05
—
140896407
—
AR
01
—
2074722
PK
—
Enumeration date
11/23/2005
Last updated
07/10/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up