Tcaacp LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25915 Issued in OK

Legal business name

TCAACP LLC

Practice address

511 S Aspen Ave
Broken Arrow, OK 74012-2296

Phone

(918) 251-6655

Fax

(918) 251-6622

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Caleb Meacham, DPH

Title

Owner

Phone

(918) 251-6655

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• PRESCRIPTIONS COMPOUNDING PHARMACY Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1013958990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122296",
            "telephone_number": "918-251-6655",
            "fax_number": "918-251-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122296",
            "telephone_number": "918-251-6655",
            "fax_number": "918-251-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCAACP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "MEACHAM",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-251-6655",
        "authorized_official_credential": "DPH"
    },
    "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": "25915",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247200A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076439",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESCRIPTIONS COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brett Cole Taylor
• Jasmine Taylor
• Kimberly Renee Taylor, M. A. CCC-SLP
• Melissa Taylor, APRN, FNP-C
• Monica Jean Taylor, MS, RD, LD, CNSC
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• Team Clinics Ah LLC
• Team Clinics Ah LLC

• Community/Retail Pharmacy in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.