NPIMap

Organization Active NPI

Claremore Compounding Center Inc

Doing business as CCC Pharmacy

  • Pharmacy
  • Okc, OK
National Provider Identifier
1548924020
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CLAREMORE COMPOUNDING CENTER INC
Doing business as
CCC Pharmacy
Practice address
1000 W Wilshire Blvd Suite 401
Okc, OK 73116
Phone
(405) 754-1090
Fax
(405) 594-6007
NPI assigned
Oct 29, 2021
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CLAREMORE COMPOUNDING CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Darren HightowerNPI 1215604632
Title
Pic
Phone
(405) 754-1090

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

1000 W Wilshire Blvd Suite 401
Okc, OK 73116

Mailing address

PO Box 398
Pryor, OK 74362
Phone (405) 754-1090

Other names 1

  • CCC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Claremore Compounding Ctr2 organizations share this tax ID, including this one
Part of
Claremore Compounding Ctr

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1548924020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "74362",
            "telephone_number": "405-754-1090",
            "fax_number": "405-594-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WILSHIRE BLVD SUITE 401",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73116",
            "telephone_number": "405-754-1090",
            "fax_number": "405-594-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREMORE COMPOUNDING CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAREMORE COMPOUNDING CENTER INC",
        "enumeration_date": "2021-10-29",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "405-754-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okc, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.