GRANITE DRUG STORE
NPI 1295804920
Pharmacy - Community/Retail Pharmacy in Granite, OK

NPI Status: Active since November 07, 2006

Contact Information

316 MAIN ST
GRANITE, OK
ZIP 73547
Phone: (580) 535-2130
Fax: (580) 535-2001

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About GRANITE DRUG STORE

This page provides the complete NPI Profile along with additional information for Granite Drug Store, a provider established in Granite, Oklahoma operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1295804920 assigned on November 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 601729 (OK). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Granite Drug Store. The authorized official of this NPI record is Lionel Cross Dph (Pharm In Charge)

NPI
1295804920
Provider Legal Name
GRANITE DRUG, INC
Other Organization Name
GRANITE DRUG STORE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
316 MAIN ST GRANITE, OK 73547
Location Phone
(580) 535-2130
Location Fax
(580) 535-2001
Mailing Address
PO BOX 158 GRANITE, OK 73547
Mailing Fax
(580) 535-2001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
07-23-2015
Code Navigator



Granite Drug Store is a medicare supplier with PTAN 20419253 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
601729
License State
OK
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0004XSuppliers

Pharmacy
Compounding Pharmacy

 
23336M0002XSuppliers

Pharmacy
Mail Order Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LIONEL CROSS DPH

Authorized Official Title
PHARM IN CHARGE
Authorized Official Phone
(580) 535-2130

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100232860AMEDICAID (05)OK 
2072794OTHER (01)PK

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20419253
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

Reviews for GRANITE DRUG STORE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295804920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185160894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 6 + 0 + 8 + 9 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1295804920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508249814THE KIDS INVESTMENT CORP
Organization
Pharmacy (Community/Retail Pharmacy)316 MAIN ST
GRANITE, OK 73547
(580) 535-2130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295804920, enumerated in the NPI registry as an "organization" on November 07, 2006

The provider is located at 316 Main St Granite, Ok 73547 and the phone number is (580) 535-2130

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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