OrganizationActive
Sooner Pharmacy Inc of Tishomingo
NPI 1891874566 · Community/Retail Pharmacy · Tishomingo, OK
Sooner Pharmacy Inc of Tishomingo is a Community/Retail Pharmacy organization in Tishomingo, OK (NPI 1891874566).
Provider details
- NPI number
- 1891874566
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mike Lafevers, Pres and Mgr(580) 371-9509
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
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
101 S Byrd St
Tishomingo, OK 73460-2216
Phone: (580) 371-9509
Fax: (580) 371-9252
Street-level locationGet directions
Mailing address
101 S Byrd St
Tishomingo, OK 73460-2216
Other names (DBA / former)
- Doing business as
- Sooner Pharmacy Inc of Tishomingo
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2011-02-07
Frequently asked questions
- What is Sooner Pharmacy Inc of Tishomingo's NPI number?
- Sooner Pharmacy Inc of Tishomingo's National Provider Identifier (NPI) is 1891874566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sooner Pharmacy Inc of Tishomingo?
- Sooner Pharmacy Inc of Tishomingo is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Sooner Pharmacy Inc of Tishomingo located?
- Sooner Pharmacy Inc of Tishomingo's practice location on file with NPPES is 101 S Byrd St, Tishomingo, OK 73460-2216.
- What is Sooner Pharmacy Inc of Tishomingo's phone number?
- The practice phone number listed in the NPPES registry for Sooner Pharmacy Inc of Tishomingo is (580) 371-9509.
- Who is the authorized official for Sooner Pharmacy Inc of Tishomingo?
- The authorized official listed on Sooner Pharmacy Inc of Tishomingo's NPPES record is Mike Lafevers, Pres and Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sooner Pharmacy Inc of Tishomingo's NPI active?
- Yes — Sooner Pharmacy Inc of Tishomingo's NPI (1891874566) is active in the NPPES registry as of the last update on 2011-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.