Oaks Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP415254L Issued in PA

Legal business name

OAKS PHARMACY INC

Practice address

1401 S 4TH St
Philadelphia, PA 19147-5948

Phone

(215) 465-1414

Fax

(215) 465-6047

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Isaac Oyemola

Title

Pres

Phone

(215) 465-1414

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• OAKS PHARMACY Doing business as

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1649304353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475948",
            "telephone_number": "215-465-1414",
            "fax_number": "215-465-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475948",
            "telephone_number": "215-465-1414",
            "fax_number": "215-465-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "OYEMOLA",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "215-465-1414"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415254L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001620421",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3972646",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oaklane Pharmacy 1 LLC
• Dante Oakman, MS, ADMIN HS
• Oakwood Healthcare LLC
• Oal Holdings & Ventures LLC
• Antoanela Oaldje, RPH
• Ashley Ann Oalickal, DO
• Oasis Chiropractic Center Incorporated

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.