Red River RX Solutions, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

1-6361 Issued in OK

Legal business name

RED RIVER RX SOLUTIONS, LLC

Practice address

125 E 3Rd St Ste C
Edmond, OK 73034-3822

Phone

(405) 509-2952

Fax

(405) 509-2984

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Joe Lake

Title

Member

Phone

(405) 509-2952

Specialties & licenses 2

Addresses

Other names 1

• Red River Rx Solutions Doing business as

Locations

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1497196851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1160",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730831160",
            "telephone_number": "405-509-2952",
            "fax_number": "405-509-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 3RD ST STE C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343822",
            "telephone_number": "405-509-2952",
            "fax_number": "405-509-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER RX SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-509-2952",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "1-6361",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OK",
            "license": "1-6361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red River Rx Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Edmond, OK
• Providers in Edmond, OK by specialty
• Compounding Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.