Healthcare Provider Details

I. General information

NPI: 1518903319
Provider Name (Legal Business Name): THE STAR PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 W MAIN ST
TUTTLE OK
73089-9060
US

IV. Provider business mailing address

4817 NW 161ST ST
EDMOND OK
73013-3204
US

V. Phone/Fax

Practice location:
  • Phone: 405-381-2341
  • Fax: 405-381-9896
Mailing address:
  • Phone: 405-808-1524
  • Fax: 405-285-0455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13224
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberT116
License Number StateOK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. CHAD ANTHONY MILLER
Title or Position: PHARMACIST IN CHARGE/PRESIDENT
Credential: PHARMD
Phone: 405-381-2341