Imc Neighborhood Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

IMC NEIGHBORHOOD PHARMACY LLC

Practice address

6333 E 120TH CT Ste a
Tulsa, OK 74137-8800

Phone

(918) 576-6602

Fax

(918) 574-8453

NPI assigned

Jan 27, 2021

Last updated

Apr 2, 2021By 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

Dr. Fidelis Ifeanyi AriguzoNPI 1588247134

Title

Pharmacist in Charge

Phone

(918) 576-6602

Specialties & licenses 4

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Imc Neighborhood Pharmacy LLC

  dba IMC Neighborhood pharmacy

  • Long Term Care Pharmacy
  • Tulsa, OK
  • NPI 1790441897
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fidelis Ifeanyi Ariguzo, RPH

  • Pharmacist
  • Tulsa, OK
  • NPI 1588247134
  Authorized official Same address or phone

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1427649102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 E 120TH CT STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741378800",
            "telephone_number": "918-576-6602",
            "fax_number": "918-574-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 E 120TH CT STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741378800",
            "telephone_number": "918-576-6602",
            "fax_number": "918-574-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC NEIGHBORHOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "IFEANYI ARIGUZO",
        "authorized_official_first_name": "FIDELIS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "918-576-6602",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Tulsa, OK
• Providers in Tulsa, 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 Apr 2, 2021; 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.