MEDICARE: MAYS DRUG STORES IN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	24438	OK
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3722457	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1427132182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAYS DRUG STORES IN

Provider Business Mailing Address
First Line	:	2100 BROOKWOOD DR
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72202-1734
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 W KENOSHA ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-8517
Country	:	US
Telephone Number	:	918-461-9968
Fax Number	:	918-416-9049

Authorized Official
Title or Position	:	RETAIL SUPPORT
Name	:	JOYCE STROM
Credential	:
Telephone Number	:	501-296-3312

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	09/11/2025

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Directions to “MAYS DRUG STORES IN ” Practice Location

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