Active NPI
United Pharmacy Inc
- Community/Retail Pharmacy
- Yukon, OK
National Provider Identifier
1043380124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26-7572
- Legal business name
- UNITED PHARMACY INC
- Practice address
- 901 Cornwell Dr
Yukon, OK 73099-4552 - Phone
- (405) 354-5233
- Fax
- (405) 354-2544
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Weaver, RPH
- Title
- Owner
- Phone
- (405) 354-5233
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 26-7572 | OK | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
901 Cornwell Dr
Yukon, OK 73099-4552
Mailing address
901 Cornwell Dr
Yukon, OK 73099-4552
Phone (405) 354-5233
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2072519 | Other | PK | |
| 100245270A | Medicaid | OK |
Other names 1
- UNITED PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090826000300 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 1456406503 | Practice locations: Yukon, OK |
| O20100930053476 | OK | DME Supplier - Pharmacy | 1456406503 | Practice locations: Yukon, OK |
National Provider Directory
National Provider Directory- Tax ID family
- United Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Yukon, OK
- NPI 1164110045
Locations
901 Cornwell Dr
Yukon, OK 73099
Phone (405) 354-5233
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Yukon, OK
- NPI 1700488038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471478400000",
"number": "1043380124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 CORNWELL DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730994552",
"telephone_number": "405-354-5233",
"fax_number": "405-354-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CORNWELL DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730994552",
"telephone_number": "405-354-5233",
"fax_number": "405-354-2544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-354-5233",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "26-7572",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2072519",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100245270A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UNITED PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.