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

Dr. Scotty Ray Black, PHARMD

Individual provider Pharmacist · NPI 1750630513

Dr. Scotty Ray Black, PHARMD is a Pharmacist in Tishomingo, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.

Licensed in
OK
In the registry since
2012
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

7670 US Highway 377 S
Tishomingo, OK 73460-4460
Phone: (580) 371-5318
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 15142 (OK)

Record details

NPI number1750630513
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedSeptember 6, 2012
Last updated in NPPESSeptember 6, 2012
Mailing address7670 Us Highway 377 S, Tishomingo, OK 73460-4460

Other providers in Tishomingo