NPIMap

Organization Active NPI

Pharm Shawnee Acquisition LLC

Doing business as Medicine Shoppe LTC

  • Long Term Care Pharmacy
  • Shawnee, OK
National Provider Identifier
1568149938
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARM SHAWNEE ACQUISITION LLC
Doing business as
Medicine Shoppe LTC
Practice address
1006 N Harrison Ave
Shawnee, OK 74801-6419
Phone
(405) 273-7360
NPI assigned
Jun 28, 2023
Organization subpart
Yes
Parent organization
PHARM SHAWNEE ACQUISITION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Matthew Finn
Title
Officer
Phone
(469) 261-3048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1006 N Harrison Ave
Shawnee, OK 74801-6419

Mailing address

1006 N Harrison Ave
Shawnee, OK 74801-6419
Phone (405) 273-7360

Other names 1

  • Medicine Shoppe LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharm Shawnee Acquisition2 organizations share this tax ID, including this one
Part of
Pharm Shawnee Acquisition

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.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1568149938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N HARRISON AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016419",
            "telephone_number": "405-273-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N HARRISON AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016419",
            "telephone_number": "405-273-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM SHAWNEE ACQUISITION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARM SHAWNEE ACQUISITION LLC",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "FINN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "469-261-3048"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.