Organization Active NPI

Medic Pharmacy Management Inc

Doing business as Medic Phcy

  • Clinic Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1619052909
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
MEDIC PHARMACY MANAGEMENT INC
Doing business as
Medic Phcy
Practice address
5701 N Portland Ave
Oklahoma City, OK 73112-1678
Phone
(405) 949-6410
Fax
(405) 949-6412
NPI assigned
Oct 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Rhonda Cothran, PHARMACISTNPI 1699888578
Title
Manager
Phone
(405) 949-6410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 13564 OK
Clinic Pharmacy 3336C0002X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

5701 N Portland Ave
Oklahoma City, OK 73112-1678

Mailing address

5701 N Portland Ave
Oklahoma City, OK 73112-1678

Other identifiers 2

IdentifierTypeStateIssuer
90003924453MedicaidOK
3717975OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDIC PHCY Doing business as

National Provider Directory

National Provider Directory

Locations

5701 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-4380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619052909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121678",
            "telephone_number": "405-949-6410",
            "fax_number": "405-949-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC PHARMACY MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COTHRAN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-949-6410",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "13564",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003924453",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3717975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDIC PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 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.

Verify at the official NPI Registry.