Organization Active NPI

Allen Neighborhood Pharmacy Inc

  • Community/Retail Pharmacy
  • Allen, OK
National Provider Identifier
1366529034
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
235285 Issued in OK
Legal business name
ALLEN NEIGHBORHOOD PHARMACY INC
Practice address
200 E Lexington
200 East Lexington
Allen, OK 74825-9224
Phone
(580) 857-2492
Fax
(580) 272-2495
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
David Campbell, PHARM.D.
Title
President
Phone
(580) 857-2492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 235285 OK Primary

Addresses

Primary practice location

200 E Lexington
200 East Lexington
Allen, OK 74825-9224

Mailing address

PO Box 311
Allen, OK 74825-0311
Phone (580) 857-2492

Other identifiers 2

IdentifierTypeStateIssuer
2072617OtherPK
100244820AMedicaidOK

Other names 1

  • ALLEN COMMUNITY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

200 E Lexington
Allen, OK 74825
Phone (580) 857-2492

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1366529034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "ALLEN",
            "state": "OK",
            "postal_code": "748250311",
            "telephone_number": "580-857-2492",
            "fax_number": "580-857-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E LEXINGTON",
            "address_2": "200 EAST LEXINGTON",
            "city": "ALLEN",
            "state": "OK",
            "postal_code": "748259224",
            "telephone_number": "580-857-2492",
            "fax_number": "580-272-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN NEIGHBORHOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-857-2492",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "235285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072617",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244820A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEN COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLEN COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.