Glenpool Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26183 Issued in OK

Legal business name

GLENPOOL PHARMACY INC

Doing business as

MEDICAP PHARMACY 8422

Practice address

15024 S Memorial Dr Ste F
Bixby, OK 74008-3700

Phone

(918) 364-7222

Fax

(918) 364-7225

NPI assigned

Feb 19, 2013

Organization subpart

No

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

Authorized official

Name

Bryan Green

Title

Owner

Phone

(918) 322-3667

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDICAP PHARMACY 8422 Doing business as

Tax ID family

Glenpool Pharmacy Inc2 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.

• Glenpool Pharmacy Inc

  • Community/Retail Pharmacy
  • Tulsa, OK
  • NPI 1871823781
  NPD tax ID

Locations

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1558601179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740330887",
            "fax_number": "918-322-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15024 S MEMORIAL DR STE F",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083700",
            "telephone_number": "918-364-7222",
            "fax_number": "918-364-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENPOOL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-322-3667"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "26183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3727180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY 8422",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Renewal, Inc.
• Joshan George, DC
• Brad Girard, PHARMD
• Laura Michelle Girod
• Troy A. Glaser, D.O.
• Hayden Graham, DPT
• Kyle L Green, DPH
• Cedric Michael Griffin, DO
• Xuyen Ha
• Braden Hackler

• Community/Retail Pharmacy in Bixby, OK
• Providers in Bixby, 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 Feb 19, 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.