Organization Active NPI

Cyber Pharmacy LLC

  • Long Term Care Pharmacy
  • Norman, OK
National Provider Identifier
1154478212
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
75767 Issued in OK
Legal business name
CYBER PHARMACY LLC
Practice address
2600 Technology PL
Norman, OK 73071-1129
Phone
(405) 321-5300
Fax
(405) 321-5352
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Dow Classen
Title
Pharmacy Manager
Phone
(405) 321-5300

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X 75767 OK Primary
Managed Care Organization Pharmacy 3336M0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2600 Technology PL
Norman, OK 73071-1129

Mailing address

2600 Technology PL
Norman, OK 73071-1129
Phone (405) 321-5300

Other identifiers 2

IdentifierTypeStateIssuer
100246250AMedicaidOK
2076243OtherPK

Other names 1

  • LEGEND CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2600 Technology Pl
Norman, OK 73071
Phone (405) 321-5300

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1154478212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TECHNOLOGY PL",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730711129",
            "telephone_number": "405-321-5300",
            "fax_number": "405-321-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TECHNOLOGY PL",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730711129",
            "telephone_number": "405-321-5300",
            "fax_number": "405-321-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYBER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "CLASSEN",
        "authorized_official_first_name": "DOW",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "405-321-5300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "75767",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246250A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076243",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEGEND CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.