Organization Active NPI

Limestone Pharmacy P.L.L.C.

  • Community/Retail Pharmacy
  • Bartlesville, OK
National Provider Identifier
1063853778
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9-6312 Issued in OK
Legal business name
LIMESTONE PHARMACY P.L.L.C.
Practice address
3803 Nowata Rd Ste C
Bartlesville, OK 74006-5121
Phone
(918) 331-0000
Fax
(918) 331-9068
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Jacqueline Gallery, RPH
Title
Owner/Pharmacist
Phone
(918) 331-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 9-6312 OK Primary

Addresses

Primary practice location

3803 Nowata Rd Ste C
Bartlesville, OK 74006-5121

Mailing address

3803 Nowata Rd Ste C
Bartlesville, OK 74006-5121
Phone (918) 331-0000

Other identifiers 2

IdentifierTypeStateIssuer
2141180OtherPK
200507180AMedicaidOK

Other names 1

  • Limestone Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3803 Nowata Rd
Ste C
Bartlesville, OK 74006
Phone (918) 331-0000

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1063853778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 NOWATA RD STE C",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065121",
            "telephone_number": "918-331-0000",
            "fax_number": "918-331-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 NOWATA RD STE C",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065121",
            "telephone_number": "918-331-0000",
            "fax_number": "918-331-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMESTONE PHARMACY P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "GALLERY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "918-331-0000",
        "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": "OK",
            "license": "9-6312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141180",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200507180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limestone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Limestone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.