The Apothecary Shoppe of Ba LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-6501 Issued in OK

Legal business name

THE APOTHECARY SHOPPE OF BA LLC

Practice address

510 N Elm PL
Broken Arrow, OK 74012-2539

Phone

(918) 449-9988

Fax

(918) 449-9989

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Marti, PHARMD

Title

President

Phone

(918) 665-2003

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• THE APOTHECARY SHOPPE Doing business as

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1083777601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357704",
            "telephone_number": "918-665-2003",
            "fax_number": "918-665-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122539",
            "telephone_number": "918-449-9988",
            "fax_number": "918-449-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE APOTHECARY SHOPPE OF BA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "MARTI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-665-2003",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "2-6501",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE APOTHECARY SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.