Active NPI
Rowland Pharmacy, LLC
- Community/Retail Pharmacy
- Jenks, OK
National Provider Identifier
1508371980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ROWLAND PHARMACY, LLC
- Practice address
- 802 W Main St Ste 103
Jenks, OK 74037-3585 - Phone
- (918) 236-4668
- Fax
- (918) 574-8463
- NPI assigned
- Dec 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lindy Allen Rowland, PHARMD
- Title
- Owner
- Phone
- (918) 236-4668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
802 W Main St Ste 103
Jenks, OK 74037-3585
Mailing address
802 W Main St Ste 103
Jenks, OK 74037-3585
Phone (918) 236-4668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200769890A | Medicaid | OK |
Other names 1
- Rowland Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181011001516 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 0345592861 | Practice locations: Jenks, OK |
National Provider Directory
National Provider DirectoryLocations
802 W Main St
Ste 103
Jenks, OK 74037
Phone (918) 236-4668
1725 E 19th St
Ste 103
Tulsa, OK 74104
Phone (918) 236-4668
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tulsa, OK
- NPI 1861403610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1508371980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 W MAIN ST STE 103",
"city": "JENKS",
"state": "OK",
"postal_code": "740373585",
"telephone_number": "918-236-4668",
"fax_number": "918-574-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 W MAIN ST STE 103",
"city": "JENKS",
"state": "OK",
"postal_code": "740373585",
"telephone_number": "918-236-4668",
"fax_number": "918-574-8463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROWLAND PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-07",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "ROWLAND",
"authorized_official_first_name": "LINDY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-236-4668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200769890A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rowland Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.