Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Palace Drug of Coalgate LLC

Community/Retail Pharmacy in Coalgate, OK · enumerated 2006 · authorized official Jared Collins, Owner.

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

National Provider Identifier

1780767731

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Palace Drug of Coalgate LLC

Other name <Unavail>

Practice address 104 W Ohio Ave, Coalgate, OK, 74538

Phone (580) 927-2064

Fax (580) 927-2508

Enumeration date Oct 23, 2006

Last updated in NPPES Oct 7, 2021

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 74-7690 (OK) Primary

3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Jared Collins

Title Owner

Phone (580) 927-2064

Other identifiers

Identifier	Type	State	Issuer
100233410A	Medicaid	OK	-
2072710	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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-10-07. Verify at npiregistry.cms.hhs.gov.

Where is Palace Drug of Coalgate LLC located?

The practice location on file with NPPES is in Coalgate, OK.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-07.