Organization Active NPI

TLC Pharmacy, LLC

  • Specialty Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1609273903
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
TLC PHARMACY, LLC
Practice address
5510 S Western Ave
Oklahoma City, OK 73109-4511
Phone
(405) 412-8054
NPI assigned
Dec 2, 2014
Last updated
Dec 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Stanley Young
Title
Pharmacist
Phone
(405) 924-3006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

5510 S Western Ave
Oklahoma City, OK 73109-4511

Mailing address

PO Box 721622
Oklahoma City, OK 73172-1622
Phone (405) 412-8054

National Provider Directory

National Provider Directory

Locations

5510 S Western Ave
Oklahoma City, OK 73109
Phone (405) 412-8054

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1609273903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721622",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731721622",
            "telephone_number": "405-412-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094511",
            "telephone_number": "405-412-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "405-924-3006"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "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 Dec 2, 2014; 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.