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City Drug of Idabel Inc

Community/Retail Pharmacy in Idabel, OK · enumerated 2006 · authorized official Jerry Nicholson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093808438

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name City Drug of Idabel Inc
Other name <Unavail>
Practice address 12 S Central Ave, Idabel, OK, 74745
Fax (580) 286-3016
Enumeration date Sep 30, 2006
Last updated in NPPES Jul 2, 2014

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 25-2838 (OK) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Jerry Nicholson
Title Owner

Other identifiers

Identifier Type State Issuer
100237680A Medicaid OK -
2073563 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for City Drug of Idabel Inc?
The NPI for City Drug of Idabel Inc is 1093808438, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for City Drug of Idabel Inc?
NPPES lists Jerry Nicholson (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-02.