FIKES BOOMTOWN DRUG


Address: 514 S. Oklahoma Cutoff, Burkburnett, TX 76354
Phone: 9405695600

FIKES BOOMTOWN DRUG (NPI# 1902004112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902004112
Entity Type Organization
Organization Name FIKES BOOMTOWN DRUG
Other Organization Name BOOMTOWN DRUG
Practice Address 514 S. Oklahoma Cutoff
Burkburnett
TX 76354
Mailing Address Po Box 805
Burkburnett
TX 76354-0805
Practice Telephone 9405695600
Practice Fax Number 9405695608
Mailing Telephone 9405695600
Mailing Fax Number 9405695608
Enumeration Date 2007-07-10
Last Update Date 2020-04-29
Authorized Official Name CORY GENE FIKES (OWNER)
Authorized Official Telephone 9405695600
Authorized Official Credential D.PH.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
25627 TX Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
TX NCPDP NUMBER 4545351 01
TX STATE LICENSE # 25627 01
TX 145823 05
TX DEA FB0387591 01
OK 200114870A 05

Other Provider/Organization Names

Other Name Type Code
Boomtown Drug Doing Business As Name - Organization

Office Location

Street Address 514 S. OKLAHOMA CUTOFF
City BURKBURNETT
State TX
Zip Code 76354

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487287819 Zerlina Ruth Leavelle Pharmacy Technician 514 S. Oklahoma Cutoff, Burkburnett, TX 76354-7635 2020-02-13
1821645151 Bryan William Harrison Pharmacist 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 2019-08-21
1548460801 Fikes Boomtown Drug, Inc. Durable Medical Equipment & Medical Supplies 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 2007-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861024341 Kaytlynn Flowers Pharmacy Technician 514 South Oklahoma Cutoff, Burkburnett, TX 76354 2020-02-12
1760983597 Britney Sims Licensed Vocational Nurse 703 Meadow Dr, Burkburnett, TX 76354 2018-02-27
1851849897 Foursquare Texas 16 LLC Skilled Nursing Facility 1119 S. Red River Expressway, Burkburnett, TX 76354 2016-09-20
1669929741 Burk Smiles Pllc Dentist 412 B South Ave D, Burkburnett, TX 76354 2016-09-06
1396842951 Christopher Kevin Wyatt Psychiatry & Neurology 312 S Avenue D, Burkburnett, TX 76354 2006-09-17
1730603978 Kelly Lynn Hall Physician Assistant 149 Hart St, 82nd Mdos/sgop Family Practice, Sheppard Afb, TX 76354 2017-07-31
1497219943 Allen Wayne Durbin Jr. Physical Therapy Assistant 507 E 5th St, Burkburnett, TX 76354-1607 2019-01-29
1588652051 Evergreen Healthcare Center Nursing Facility/Intermediate Care Facility 406 E 7th St, Burkburnett, TX 76354-2017 2005-10-10
1780618835 Nocona Hospital District Skilled Nursing Facility 406 E 7th St, Burkburnett, TX 76354-2017 2006-07-11
1275033987 Aaron Owen Licensed Vocational Nurse 106 Avenue G, Burkburnett, TX 76354-2120 2018-02-19
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
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]

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NPI Name Taxonomy Address Enumeration
1831790575 Nextlevel Pharmaceuticals LLC Pharmacy 1110 Texas Pkwy, Stafford, TX 77477-6419 2020-11-06
1629679410 Duehan Tran Ngo Pharmacy 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 2020-11-06
1679174882 Comanche County Medical Center Company Pharmacy 1870 State Hwy 36, Rising Star, TX 76471 2020-11-04
1629679717 Edith Achebodt Pharmacy 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 2020-11-04
1356942767 Rxassist Pharmacy, Inc. Pharmacy 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 2020-11-03
1154921864 Mbepe Health LLC Pharmacy 301 S 9th St Ste 121, Richmond, TX 77469-3448 2020-10-30
1639779366 Mens African Investors Pharmacy 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 2020-10-30
1861091977 A Medizona Pharmacy Pharmacy 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 2020-10-20
1952900078 Nudo Pharmacy LLC Pharmacy 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 2020-10-20
1194324277 Rite Scripts Pharmacy Inc Pharmacy 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 2020-10-20
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Competitor

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City BURKBURNETT
Zip Code 76354

Improve Information

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Dataset Information

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.

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