Pharmcareok of Tulsa, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

294408 Issued in OK

Legal business name

PHARMCAREOK OF TULSA, INC.

Practice address

750 S Cherokee St Ste B
Catoosa, OK 74015-2538

Phone

(918) 379-0404

Fax

(888) 228-0293

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Kent Abbott

Title

President & Ceo

Phone

(877) 505-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PharmcareOK of Tulsa, Inc. Doing business as

Tax ID family

Pharmcareok of Tulsa Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pharmcareok of Tulsa, Inc.

  • Long Term Care Pharmacy
  • Catoosa, OK
  • NPI 1720017437
  NPD tax ID

Locations

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1649604356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730480070",
            "telephone_number": "877-505-4111",
            "fax_number": "877-505-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S CHEROKEE ST STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740152538",
            "telephone_number": "918-379-0404",
            "fax_number": "888-228-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCAREOK OF TULSA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "877-505-4111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "294408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141719",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmcareOK of Tulsa, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel F O'Connor, DPT
• Emily Oberg
• Kimberly Jean Obermark
• Jacqueline Osborn
• John Parker
• Pharmcareok of Tulsa, Inc.
• Teresa Phipps, PHARMD
• Jose Portillo
• Gina Lea Poulter, PHARMD
• Preventative Medical Services LLC

• Community/Retail Pharmacy in Catoosa, OK
• Providers in Catoosa, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.