Organization Active NPI

Live Oak Pharmacy,LLC

  • Pharmacy
  • Plano, TX
National Provider Identifier
1174003552
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
32209 Issued in TX
Legal business name
LIVE OAK PHARMACY,LLC
Practice address
2011 W Spring Creek Pkwy Ste 1500
Plano, TX 75023-4260
Phone
(972) 532-1008
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Bilal Abu AtiehNPI 1720475171
Title
Officer
Phone
(972) 532-1008

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 32209 TX Primary

Addresses

Primary practice location

2011 W Spring Creek Pkwy Ste 1500
Plano, TX 75023-4260

Mailing address

2011 W Spring Creek Pkwy Ste 1500
Plano, TX 75023-4260

Other names 1

  • Live Oak Pharmacy Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181114000354 TX Part B Supplier - Pharmacy 3173877941 Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

2011 W Spring Creek Pkwy
Ste 1500
Plano, TX 75023
Phone (972) 532-1008

2105 W Spring Creek Pkwy
Ste 325
Plano, TX 75023
Phone (972) 532-1008

Practitioners & affiliated clinicians

Practitioners 2

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": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1174003552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 W SPRING CREEK PKWY STE 1500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 W SPRING CREEK PKWY STE 1500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234260",
            "telephone_number": "972-532-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK PHARMACY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "ABU ATIEH",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "972-532-1008"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "32209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.