Active NPI
Alexander William Labossiere, PHARM.D.
- Pharmacist
- Ponca City, OK
National Provider Identifier
1053950063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18592
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18592 | OK | MD | Pharmacist |
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.