Northrock Pharmacy LLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

NORTHROCK PHARMACY LLC

Doing business as

NorthRock Pharmacy

Practice address

2617 General Pershing Blvd
Oklahoma City, OK 73107-6437

Phone

(405) 858-1780

Fax

(405) 858-1781

NPI assigned

Aug 18, 2016

Last updated

Dec 3, 2024By 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

Sally Kerr

Title

Executive Director

Phone

(405) 858-2817

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• NorthRock Pharmacy Doing business as

Tax ID family

Northrock Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Red Rock Pharmacy, LLC

  dba Red Rock Pharmacy

  • Community/Retail Pharmacy
  • Oklahoma City, OK
  • NPI 1568501518
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• North Oklahoma County Mental Health Center

  dba North Care Center

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1528148541

  Member Of

  NPD member

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1487109518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 GENERAL PERSHING BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076437",
            "telephone_number": "405-858-1780",
            "fax_number": "405-858-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 GENERAL PERSHING BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076437",
            "telephone_number": "405-858-1780",
            "fax_number": "405-858-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHROCK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-858-2817"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "1-7681",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000020B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163688",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthRock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry L Northcutt, MD
• Dan Raymond Northey, M.D.
• Sharie Northington
• Shelneko Toni Northington, M.S.
• Northland Hearing Center, Inc. (Economy Hearing Oklahoma City)
• Northside Digestive Diseases, Inc.
• Northside Psychiatry PLLC
• Holly M Northup
• Northview Family Practice, PLLC
• Northwest Anesthesia PC

• Clinic Pharmacy in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinic Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.