Active NPI
Ok Compounding
- Specialty Pharmacy
- Skiatook, OK
National Provider Identifier
1245579937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- 166161
- Legal business name
- OK COMPOUNDING
- Doing business as
- Ok Compounding
- Practice address
- 102 Broadway
Skiatook, OK 74070 - Phone
- (918) 396-0100
- Fax
- (918) 396-0113
- NPI assigned
- Jan 31, 2013
- Last updated
- Jan 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacie Miller
- Title
- Pharmacist in Charge, Partner
- Phone
- (918) 396-0100
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X | 166161 | OK | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
102 Broadway
Skiatook, OK 74070
Mailing address
102 Broadway
Skiatook, OK 74070
Phone (918) 396-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3727154 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- OK COMPOUNDING
National Provider Directory
National Provider Directory- Tax ID family
- Ok Compounding
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
102 N Broadway St
Skiatook, OK 74070
Phone (918) 396-0100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359590400000",
"number": "1245579937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BROADWAY",
"city": "SKIATOOK",
"state": "OK",
"postal_code": "74070",
"telephone_number": "918-396-0100",
"fax_number": "918-396-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BROADWAY",
"city": "SKIATOOK",
"state": "OK",
"postal_code": "74070",
"telephone_number": "918-396-0100",
"fax_number": "918-396-0113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OK COMPOUNDING",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-31",
"last_updated": "2013-01-31",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "STACIE",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE, PARTNER",
"authorized_official_telephone_number": "918-396-0100"
},
"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": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "OK",
"license": "166161",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3727154",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OK COMPOUNDING",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Skiatook, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.