Remedi Seniorcare of Oklahoma LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

1-7535 Issued in OK

Legal business name

REMEDI SENIORCARE OF OKLAHOMA LLC

Practice address

4243 Will Rogers Pkwy
Oklahoma City, OK 73108-2039

Phone

(877) 927-8713

Fax

(855) 240-8808

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Alan Bronfein

Title

Vice President, Strategic Sourcing

Phone

(443) 927-8403

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Remedi SeniorCare of Oklahoma Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pooja N Patel, PHARMD

  • Pharmacist
  • Oklahoma City, OK
  • NPI 1689152878
  NPD (past)

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1114392115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206329",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753206329",
            "telephone_number": "443-927-8400",
            "fax_number": "443-927-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 WILL ROGERS PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731082039",
            "telephone_number": "877-927-8713",
            "fax_number": "855-240-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDI SENIORCARE OF OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "BRONFEIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "VICE PRESIDENT, STRATEGIC SOURCING",
        "authorized_official_telephone_number": "443-927-8403"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "1-7535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200627500 A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedi SeniorCare of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Long Term Care Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.