Ok Compounding LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

2-6161 Issued in OK

Legal business name

OK COMPOUNDING LLC

Doing business as

OK Compounding

Practice address

102 N Broadway
Skiatook, OK 74070

Phone

(918) 396-0100

Fax

(918) 396-0113

NPI assigned

Nov 4, 2010

Last updated

May 8, 2013By 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

Christopher Parks

Title

Partner/Managing Officer

Phone

(918) 396-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OK Compounding Doing business as

Tax ID family

Ok Compounding2 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.

• Ok Compounding

  • Specialty Pharmacy
  • Skiatook, OK
  • NPI 1245579937
  NPD tax ID

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1538460795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N BROADWAY",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "74070",
            "telephone_number": "918-396-0100",
            "fax_number": "918-396-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N BROADWAY",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "74070",
            "telephone_number": "918-396-0100",
            "fax_number": "918-396-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PARTNER/MANAGING OFFICER",
        "authorized_official_telephone_number": "918-396-0100"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OK",
            "license": "2-6161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OK Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassie Legg, MOT, OTR/L
• Marisa Nicole McNeely, PHARMD
• Micah Douglass Nix, D.O.
• Patricia Ann Nowick, RPT
• Ok Compounding
• Brooke Ostberg, NP-C
• Lacey Pappan, PT, DPT
• Jaime Anne Parrish, DDS
• Peyton Leigh Patrick, CSFA
• Deborah Kay Pattillo, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.