NPIMap

Organization Active NPI

Community Health Connection Inc

Doing business as Community Health Connection Pharmacy - Ellen Ochoa

  • Clinic Pharmacy
  • Tulsa, OK
National Provider Identifier
1457983595
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
COMMUNITY HEALTH CONNECTION INC
Doing business as
Community Health Connection Pharmacy - Ellen Ochoa
Practice address
12020 E 31St St
Tulsa, OK 74146-7401
Phone
(918) 710-4460
Fax
(918) 710-4461
NPI assigned
Feb 6, 2020
Last updated
Apr 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH CONNECTION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Mary Beth Miller
Title
Finance
Phone
(918) 622-0641

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

12020 E 31St St
Tulsa, OK 74146-7401

Mailing address

2321 E 3Rd St
Tulsa, OK 74104-1831
Phone (918) 710-4460

Other identifiers 1

IdentifierTypeStateIssuer
200082520FMedicaidOK

Other names 1

  • Community Health Connection Pharmacy - Ellen Ochoa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comm HLTH Connection Inc4 organizations share this tax ID, including this one
Part of
Comm HLTH Connection Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1457983595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 E 3RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741041831",
            "telephone_number": "918-710-4460",
            "fax_number": "918-710-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741467401",
            "telephone_number": "918-710-4460",
            "fax_number": "918-710-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CONNECTION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH CONNECTION INC",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "918-622-0641"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200082520F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Connection Pharmacy - Ellen Ochoa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Health Connection Pharmacy - Ellen Ochoa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.