Active NPI
TD Pharmacy Services, PLLC
- Pharmacy
- Oklahoma City, OK
National Provider Identifier
1558024257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- TD PHARMACY SERVICES, PLLC
- Practice address
- 3810 N. Tulsa Ave.
Ste H
Oklahoma City, OK 73112 - Phone
- (405) 805-6191
- NPI assigned
- Oct 19, 2021
- 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
- Tara Ann Dominguez, PHARM D
- Title
- Owner Ceo Founder
- Phone
- (405) 805-6191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
3810 N. Tulsa Ave.
Ste H
Oklahoma City, OK 73112
Mailing address
3810 N. Tulsa Ave.
Ste H
Oklahoma City, OK 73112
Phone (405) 805-6191
National Provider Directory
National Provider DirectoryLocations
3810 N Tulsa Ave
Ste H
Oklahoma City, OK 73112
Phone (405) 805-6191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634601600000",
"number": "1558024257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 N. TULSA AVE.",
"address_2": "STE H",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-805-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 N. TULSA AVE.",
"address_2": "STE H",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-805-6191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TD PHARMACY SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER CEO FOUNDER",
"authorized_official_telephone_number": "405-805-6191",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.