Organization Active NPI

Health Shoppe LLC

  • Community/Retail Pharmacy
  • Edmond, OK
National Provider Identifier
1013322213
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1-6790 Issued in OK
Legal business name
HEALTH SHOPPE LLC
Doing business as
Life Pharmacy
Practice address
1260 W Covell Rd
Suite 124
Edmond, OK 73003-3555
Phone
(405) 562-4242
Fax
(405) 562-4535
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shonara Awad, RPH
Title
Owner
Phone
(732) 485-3078

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1-6790 OK Primary

Addresses

Primary practice location

1260 W Covell Rd
Suite 124
Edmond, OK 73003-3555

Mailing address

1260 W Covell Rd
Suite 124
Edmond, OK 73003-3555
Phone (405) 562-4242

Other identifiers 2

IdentifierTypeStateIssuer
2146599OtherPK
200559050MedicaidOK

Other names 1

  • Life Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317002381 OK Part B Supplier - Mass Immunization (Roster Biller Only) 4981921699 Practice locations: Edmond, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2085140Life Pharmacy1260 W Covell Rd, Edmond, OK 73003Certificate of waiverOct 7, 2026

National Provider Directory

National Provider Directory

Locations

1260 W Covell Rd
Ste 124
Edmond, OK 73003
Phone (405) 562-4242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1013322213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 W COVELL RD",
            "address_2": "SUITE 124",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033555",
            "telephone_number": "405-562-4242",
            "fax_number": "405-562-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 W COVELL RD",
            "address_2": "SUITE 124",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033555",
            "telephone_number": "405-562-4242",
            "fax_number": "405-562-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SHOPPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "SHONARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-485-3078",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "1-6790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146599",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200559050",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.