NPIMap

Organization Active NPI

Better Life Pharmacy P.C.

  • Community/Retail Pharmacy
  • Edmond, OK
National Provider Identifier
1023761582
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BETTER LIFE PHARMACY P.C.
Practice address
410 W Edmond Rd
Edmond, OK 73003-5602
Phone
(405) 341-1504
Fax
(405) 341-1506
NPI assigned
Feb 3, 2022
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Troy Simons, RPH
Title
President
Phone
(405) 742-8099

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

410 W Edmond Rd
Edmond, OK 73003-5602

Mailing address

410 W Edmond Rd
Edmond, OK 73003-5602
Phone (405) 341-1504

Other identifiers 1

IdentifierTypeStateIssuer
19137OtherOKOKLAHOMA STATE BOARD OF PHRAMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL barrettdrug.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220802003312 OK Part B Supplier - Pharmacy 1052793395 Practice locations: Edmond, OK

National Provider Directory

National Provider Directory
Tax ID family
Barrett Drug LTC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1023761582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W EDMOND RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035602",
            "telephone_number": "405-341-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W EDMOND RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035602",
            "telephone_number": "405-341-1504",
            "fax_number": "405-341-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER LIFE PHARMACY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-742-8099",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BOARD OF PHRAMACY",
            "identifier": "19137",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "barrettdrug.com",
            "affiliation": "N",
            "endpointDescription": "web",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "410 W Edmond Rd",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730035602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.