Individual provider Active NPI

Alexander William Labossiere, PHARM.D.

  • Pharmacist
  • Ponca City, OK
National Provider Identifier
1053950063
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18592 Issued in OK
Practice address
2701 N 14TH St
Ponca City, OK 74601-1738
Phone
(580) 765-3055
NPI assigned
Dec 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18592 OK Primary

Addresses

Primary practice location

2701 N 14TH St
Ponca City, OK 74601-1738

Mailing address

2701 N 14TH St
Ponca City, OK 74601-1738
Phone (580) 765-3055

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alex@bintzpharmacy.com Direct Bintz Pharmacy, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
18592OKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1053950063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011738",
            "telephone_number": "580-765-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011738",
            "telephone_number": "580-765-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOSSIERE",
        "first_name": "ALEXANDER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "18592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alex@bintzpharmacy.com",
            "affiliation": "Y",
            "endpointDescription": "professional email",
            "affiliationName": "Bintz Pharmacy, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "interorganizational correspondence",
            "address_1": "2701 N 14th St",
            "city": "Ponca City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "746011738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.