Organization Active NPI

JMP LTD

Doing business as Couch Pharmacy

  • Pharmacist
  • Tulsa, OK
National Provider Identifier
1205837531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2-2879 Issued in OK
Legal business name
JMP LTD
Doing business as
Couch Pharmacy
Practice address
2602 S Harvard Ave
Tulsa, OK 74114-4603
Phone
(918) 743-6154
Fax
(918) 743-6157
NPI assigned
Aug 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary L Pippin, DPH
Title
Pharmacist Manager
Phone
(918) 743-6154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2-2879 OK Primary

Addresses

Primary practice location

2602 S Harvard Ave
Tulsa, OK 74114-4603

Mailing address

2602 S Harvard Ave
Tulsa, OK 74114-4603
Phone (918) 743-6154

Other identifiers 1

IdentifierTypeStateIssuer
3708104OtherOKNAPB

Other names 1

  • COUCH PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2602 S Harvard Ave
Tulsa, OK 74114
Phone (918) 743-6154

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205837531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741144603",
            "telephone_number": "918-743-6154",
            "fax_number": "918-743-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741144603",
            "telephone_number": "918-743-6154",
            "fax_number": "918-743-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIPPIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "918-743-6154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "2-2879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "3708104",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUCH PHARMACY",
            "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 Aug 22, 2020; 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.