Organization Active NPI

Oaks Specialty Pharmacy, Inc

  • Pharmacy
  • Red Oak, TX
National Provider Identifier
1033935200
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
OAKS SPECIALTY PHARMACY, INC
Practice address
205 S Main St Ste 1005
Red Oak, TX 75154-6388
Phone
(469) 820-9159
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Nizamuddin Idris Mohammed
Title
Owner
Phone
(469) 820-9159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

205 S Main St Ste 1005
Red Oak, TX 75154-6388

Mailing address

205 S Main St Ste 1005
Red Oak, TX 75154-6388
Phone (469) 820-9159

National Provider Directory

National Provider Directory

Locations

205 S Main St
Ste 1005
Red Oak, TX 75154
Phone (469) 820-9159

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1033935200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST STE 1005",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751546388",
            "telephone_number": "469-820-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST STE 1005",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751546388",
            "telephone_number": "469-820-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKS SPECIALTY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "NIZAMUDDIN",
        "authorized_official_middle_name": "IDRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-820-9159"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.