Organization Active NPI

Tulsa Spine & Specialty Hospital Pharmacy

  • Institutional Pharmacy
  • Tulsa, OK
National Provider Identifier
1235346479
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
2-4915 Issued in OK
Legal business name
TULSA SPINE & SPECIALTY HOSPITAL PHARMACY
Practice address
6901 S Olympia Ave
Tulsa, OK 74132
Phone
(918) 388-5713
Fax
(918) 388-2731
NPI assigned
May 17, 2007
Last updated
Jul 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Mr. Jerry B Williams, DPH
Title
Pharmacist
Phone
(918) 388-5713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 2-4915 OK Primary

Addresses

Primary practice location

6901 S Olympia Ave
Tulsa, OK 74132

Mailing address

6901 S Olympia Ave
Tulsa, OK 74132
Phone (918) 388-5713

National Provider Directory

National Provider Directory
Tax ID family
Tulsa Spine Specialty Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1235346479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 S OLYMPIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74132",
            "telephone_number": "918-388-5713",
            "fax_number": "918-388-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S OLYMPIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74132",
            "telephone_number": "918-388-5713",
            "fax_number": "918-388-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA SPINE & SPECIALTY HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "918-388-5713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "OK",
            "license": "2-4915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 2007; 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.