OrganizationActive
City Drug of Idabel Inc
NPI 1093808438 · Community/Retail Pharmacy · Idabel, OK
City Drug of Idabel Inc is a Community/Retail Pharmacy organization in Idabel, OK (NPI 1093808438).
Provider details
- NPI number
- 1093808438
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jerry Nicholson, Owner(580) 286-3235
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 S Central Ave
Idabel, OK 74745-4626
Phone: (580) 286-3235
Fax: (580) 286-3016
Street-level locationGet directions
Mailing address
12 S Central Ave
Idabel, OK 74745-4626
Other names (DBA / former)
- Doing business as
- City Drug
Registry dates
- Enumerated
- 2006-09-30
- Last updated
- 2014-07-02
Frequently asked questions
- What is City Drug of Idabel Inc's NPI number?
- City Drug of Idabel Inc's National Provider Identifier (NPI) is 1093808438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is City Drug of Idabel Inc?
- City Drug of Idabel Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is City Drug of Idabel Inc located?
- City Drug of Idabel Inc's practice location on file with NPPES is 12 S Central Ave, Idabel, OK 74745-4626.
- What is City Drug of Idabel Inc's phone number?
- The practice phone number listed in the NPPES registry for City Drug of Idabel Inc is (580) 286-3235.
- Who is the authorized official for City Drug of Idabel Inc?
- The authorized official listed on City Drug of Idabel Inc's NPPES record is Jerry Nicholson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is City Drug of Idabel Inc's NPI active?
- Yes — City Drug of Idabel Inc's NPI (1093808438) is active in the NPPES registry as of the last update on 2014-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.