Active NPI
Allen Neighborhood Pharmacy Inc
- Community/Retail Pharmacy
- Allen, OK
National Provider Identifier
1366529034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 235285
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2072617 | Other | PK | |
| 100244820A | Medicaid | OK |
Other names 1
- ALLEN COMMUNITY PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.