Organization Active NPI

TD Pharmacy Services, PLLC

  • Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1558024257
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Oct 19, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.