Creative Care Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CREATIVE CARE PHARMACY, LLC

Doing business as

Creative Care Pharmacy LTC

Practice address

14101 N Eastern Ave Ste a
Edmond, OK 73013-5860

Phone

(405) 562-1800

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

David L George

Title

Co-Owner

Phone

(405) 562-1800

Specialties & licenses 1

Addresses

Other names 1

• Creative Care Pharmacy LTC Doing business as

Tax ID family

Creative Care Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Creative Care Pharmacy, LLC

  • Community/Retail Pharmacy
  • Edmond, OK
  • NPI 1639518038
  NPD tax ID

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1215752563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 N EASTERN AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 N EASTERN AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135860",
            "telephone_number": "405-562-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-562-1800"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Care Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Crawford
• Haley Crawford
• Kristin Deon Crawford, M.S. CCC-SLP
• Nathan Crawford Jr.
• Paul Adrian Crawford Jr.
• Creative Care Pharmacy, LLC
• Claire Elaine Creecy, APRN
• Creekside Speech Therapy, LLC
• Creekside Therapy Associates, LLC
• Creekside Urgent Care LLC

• Long Term Care Pharmacy in Edmond, OK
• Providers in Edmond, OK by specialty
• Long Term Care Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.