Insync Life Care LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-6132 Issued in OK

Legal business name

INSYNC LIFE CARE LLC

Doing business as

InSync Rx

Practice address

6310 East 102ND Street
Tulsa, OK 74137-7061

Phone

(918) 582-7500

Fax

(918) 728-2340

NPI assigned

Dec 17, 2012

Last updated

May 6, 2019By 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

Mrs. Mary Anne Axsom, D. PH.

Title

Pharmacist-in-Charge

Phone

(918) 582-7500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• InSync Rx Doing business as

Tax ID family

Insync Life Care LLC2 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.

• Insync Life Care, LLC

  dba InSync Rx

  • Community/Retail Pharmacy
  • Tulsa, OK
  • NPI 1932359023
  NPD tax ID

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1508102609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 EAST 102ND STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377061",
            "telephone_number": "918-582-7500",
            "fax_number": "918-728-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 EAST 102ND STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377061",
            "telephone_number": "918-582-7500",
            "fax_number": "918-728-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSYNC LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "AXSOM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "918-582-7500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D. PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "2-6132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200469640A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX LICENSE NUMBER",
            "identifier": "2-6745",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InSync Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "InSync Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 May 6, 2019; 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.