Active NPI
Red Rock Pharmacy, LLC
Doing business as Red Rock Pharmacy
- Community/Retail Pharmacy
- Oklahoma City, OK
National Provider Identifier
1568501518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RED ROCK PHARMACY, LLC
- Doing business as
- Red Rock Pharmacy
- Practice address
- 4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104 - Phone
- (405) 425-0384
- Fax
- (405) 424-4962
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 9, 2025
- 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
- Virgil Todd
- Title
- Managing Officer
- Phone
- (405) 425-0384
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Mailing address
4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Phone (405) 425-0384
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2076453 | Other | PK | |
| 200000020A | Medicaid | OK |
Other names 1
- Red Rock Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Northrock Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752019200000",
"number": "1568501518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 N LINCOLN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731055104",
"telephone_number": "405-425-0384",
"fax_number": "405-424-4962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 N LINCOLN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731055104",
"telephone_number": "405-425-0384",
"fax_number": "405-424-4962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED ROCK PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "VIRGIL",
"authorized_official_title_or_position": "MANAGING OFFICER",
"authorized_official_telephone_number": "405-425-0384"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2076453",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200000020A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Red Rock Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
- Red Rock Behavioral Health
- Red Rock Behavioral Health Services
- Red Rock Behavioral Health Services
- Red Rock Behavorial Health Services
- Red Rock Military Services
- Redbud Home Care LLC (BrightStar Care of Norman)
- Moira Ambrose Redcorn, D.O.
- Bradley Joe Reddick, DO
- Noah Reddick
- Amber Redding-Slootheer, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.