Brine and Beam Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRINE AND BEAM INC

Doing business as

Apothecary Pharmacy

Practice address

1419 Commercial Ave
Mounds, OK 74047-0580

Phone

(918) 827-6301

NPI assigned

Nov 15, 2018

Last updated

Nov 15, 2018By 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

Travis Wolff

Title

Vice-President

Phone

(918) 306-1839

Specialties & licenses 4

Addresses

Other names 1

• Apothecary Pharmacy Doing business as

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1235608696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "MOUNDS",
            "state": "OK",
            "postal_code": "740470580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 COMMERCIAL AVE",
            "city": "MOUNDS",
            "state": "OK",
            "postal_code": "740470580",
            "telephone_number": "918-827-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRINE AND BEAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "918-306-1839"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apothecary Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Jo Alexander
• Misty Bilby
• Brine and Beam LTC
• Floyd Denard Butler
• Kristen Carter, APRN-CNM
• Dee Gloved, LLC
• David Deere

• Community/Retail Pharmacy in Mounds, OK
• Providers in Mounds, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.