Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sooner Pharmacy Inc of Tishomingo

Organization Pharmacy · NPI 1891874566

Sooner Pharmacy Inc of Tishomingo is a Pharmacy in Tishomingo, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

101 S Byrd St
Tishomingo, OK 73460-2216
Phone: (580) 371-9509
Fax: (580) 371-9252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 61-3493 (OK)
Pharmacy Taxonomy 333600000X

Record details

NPI number1891874566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Lafevers — Pres And Mgr · (580) 371-9509
Other names Sooner Pharmacy Inc Of Tishomingo
NPI enumeratedNovember 3, 2006
Last updated in NPPESFebruary 7, 2011
Mailing address101 S Byrd St, Tishomingo, OK 73460-2216