Organization Active NPI

O K Pharmacy Inc

  • Community/Retail Pharmacy
  • Orange, NJ
National Provider Identifier
1154405280
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00533800 Issued in NJ
Legal business name
O K PHARMACY INC
Doing business as
OK PHARMACY INC
Practice address
9 Main St
Orange, NJ 07050-4014
Phone
(973) 675-7757
Fax
(973) 675-7771
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Oscar Agygmang, PHRM
Title
Owner
Phone
(973) 675-7757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00533800 NJ Primary

Addresses

Primary practice location

9 Main St
Orange, NJ 07050-4014

Mailing address

9 Main St
Orange, NJ 07050-4014
Phone (973) 675-7757

Other identifiers 2

IdentifierTypeStateIssuer
3138016OtherNCPDP PROVIDER IDENTIFICATION NUMBER
6986005MedicaidNJ

Other names 1

  • OK PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

9 Main St
Orange, NJ 07050
Phone (973) 675-7757

Practitioners & affiliated clinicians

Practitioners 1

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1154405280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAIN ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070504014",
            "telephone_number": "973-675-7757",
            "fax_number": "973-675-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAIN ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070504014",
            "telephone_number": "973-675-7757",
            "fax_number": "973-675-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O K PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "AGYGMANG",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-675-7757",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00533800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3138016",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6986005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OK PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.