Organization Active NPI

FMC Pharmacy LLC

  • Clinic Pharmacy
  • Tulsa, OK
National Provider Identifier
1124049192
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
2-4962 Issued in OK
Legal business name
FMC PHARMACY LLC
Practice address
2325 S Harvard Ave
Ste 400
Tulsa, OK 74114-3300
Phone
(918) 712-3407
Fax
(918) 712-3408
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Lisa Owens, DPHNPI 1366517575
Title
Pic
Phone
(918) 712-3407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 2-4962 OK Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2325 S Harvard Ave
Ste 400
Tulsa, OK 74114-3300

Mailing address

Lock Box
Dept 2113
Tulsa, OK 74182-0001
Phone (918) 712-3407

Other identifiers 3

IdentifierTypeStateIssuer
200048230MedicaidOK
200048230AMedicaidOK
2076980OtherPK

Other names 1

  • FAMILY AND CHILDRENS SERVICES Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2141072Family & Childrens Services2325 S Harvard, Tulsa, OK 74114Certificate of waiverDec 5, 2027

National Provider Directory

National Provider Directory

Locations

Lck Box
Tulsa, OK 74182

2325 S Harvard Ave
Ste 400
Tulsa, OK 74114
Phone (918) 712-3407

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1124049192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCK BOX",
            "address_2": "DEPT 2113",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741820001",
            "telephone_number": "918-712-3407",
            "fax_number": "918-712-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 S HARVARD AVE",
            "address_2": "STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143300",
            "telephone_number": "918-712-3407",
            "fax_number": "918-712-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "918-712-3407",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OK",
            "license": "2-4962",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200048230",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200048230A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY AND CHILDRENS SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.