Innovative Pharmacy Solutions

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

INNOVATIVE PHARMACY SOLUTIONS

Practice address

1716 S Kelly Ave
Edmond, OK 73013-3624

Phone

(405) 330-3619

Fax

(405) 330-5621

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David C Mason, D.PH.

Title

Pharmacist

Phone

(405) 330-3619

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215158753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 S KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133624",
            "telephone_number": "405-330-3619",
            "fax_number": "405-330-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 S KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133624",
            "telephone_number": "405-330-3619",
            "fax_number": "405-330-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHARMACY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "405-330-3619",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3721847",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in Edmond, OK
• Providers in Edmond, OK by specialty
• Compounding Pharmacy in Oklahoma

• 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.