Spring Creek Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SPRING CREEK PHARMACY LLC

Practice address

1218 E 9TH St Ste 1
Edmond, OK 73034-5796

Phone

(405) 285-9082

Fax

(405) 471-6256

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Macvictor Viet Ky Nguyen

Title

Pharmacist in Charge

Phone

(405) 285-9082

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SPRING CREEK PHARMACY Doing business as

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1518357151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 E 9TH ST STE 1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345796",
            "telephone_number": "405-285-9082",
            "fax_number": "405-471-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 E 9TH ST STE 1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345796",
            "telephone_number": "405-285-9082",
            "fax_number": "405-471-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MACVICTOR",
        "authorized_official_middle_name": "VIET KY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "405-285-9082"
    },
    "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149145",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200576880A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRING CREEK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPRING CREEK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla J Spilman
• Spine Care of Oklahoma, LLC
• Spinepainbegone PA
• Jaclyn Spomer
• Zaria Spratt
• Meghan D Springer, OTR
• McKenzie Renee Sprowls, PSY.D.
• Sherrie L Squier, OTR L CHT
• Alison Joy Squire, M.S.
• SSM Healthcare of Oklahoma, Inc

• Community/Retail Pharmacy in Edmond, OK
• Providers in Edmond, 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 Sep 17, 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.