Organization
GFJ INC
Active
Other names
Broken Arrow Family Drug North
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PENDERGRAFT (PRESIDENT)
(918) 451-3784
Entity
Organization
Contact information
Practice address
1030 E LANSING ST, BROKEN ARROW, OK 74012-2073
(918) 251-3784
(918) 294-1004
Mailing address
3359 S ELM PL, BROKEN ARROW, OK 74012-7924
(918) 451-3784
(918) 451-2295
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-6087
OK
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100812690D
—
OK
01
—
2137360
PK
—
Enumeration date
10/19/2012
Last updated
12/02/2019
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