Organization Active NPI

Everest Pharmacy LLC

  • Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1184367492
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
EVEREST PHARMACY LLC
Practice address
2809 NW 31St St
Oklahoma City, OK 73112-7406
Phone
(405) 724-9450
Fax
(405) 208-8909
NPI assigned
Apr 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Ahmed Shuja
Title
Owner
Phone
(469) 530-4932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2809 NW 31St St
Oklahoma City, OK 73112-7406

Mailing address

21175 Tomball Pkwy # 504
Houston, TX 77070-1655

Other names 1

  • New Hope Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1184367492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21175 TOMBALL PKWY # 504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 NW 31ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127406",
            "telephone_number": "405-724-9450",
            "fax_number": "405-208-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "SHUJA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-530-4932"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Hope Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Hope Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.