NW Bartlesville LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

9-6509 Issued in OK

Legal business name

NW BARTLESVILLE LLC

Practice address

143 SE Washington Blvd
Bartlesville, OK 74006-2334

Phone

(918) 876-4204

Fax

(918) 876-4206

NPI assigned

Nov 19, 2013

Organization subpart

No

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

Authorized official

Name

Umar Farooq

Title

President

Phone

(501) 392-8680

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Express Rx of Bartlesville Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanner Reid Volz

  • Pharmacist
  • Bartlesville, OK
  • NPI 1225508625
  NPD (past)

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1386074946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34407",
            "address_2": "PMB 53760",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722034407",
            "telephone_number": "501-534-4459",
            "fax_number": "501-534-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062334",
            "telephone_number": "918-876-4204",
            "fax_number": "918-876-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW BARTLESVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "UMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-392-8680"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "9-6509",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144292",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200532030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Rx of Bartlesville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express Rx of Bartlesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.