Active NPI
Ou Medicine Inc.
- Community/Retail Pharmacy
- Oklahoma City, OK
National Provider Identifier
1669895108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- OU MEDICINE INC.
- Practice address
- 1200 Childrens Ave Ste 7300
Oklahoma City, OK 73104-4637 - Phone
- (405) 271-1047
- Fax
- (405) 271-4301
- NPI assigned
- Feb 3, 2014
- Organization subpart
- Yes
- Parent organization
- OU MEDICINE INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Petty
- Title
- Director of Retail Pharmacy
- Phone
- (405) 808-1771
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 1-5590 | OK | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1200 Childrens Ave Ste 7300
Oklahoma City, OK 73104-4637
Mailing address
1200 Childrens Ave Ste 7300
Oklahoma City, OK 73104-4637
Phone (405) 271-1047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200532040A | Medicaid | OK |
Other names 1
- OU Health Pharmacy - Jimmy Everest Center
National Provider Directory
National Provider Directory- Part of
- Ou Medicine Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Oklahoma City, OK
- NPI 1700150018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1669895108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CHILDRENS AVE STE 7300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044637",
"telephone_number": "405-271-1047",
"fax_number": "405-271-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CHILDRENS AVE STE 7300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044637",
"telephone_number": "405-271-1047",
"fax_number": "405-271-4301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OU MEDICINE INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OU MEDICINE INC.",
"enumeration_date": "2014-02-03",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A",
"authorized_official_last_name": "PETTY",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "DIRECTOR OF RETAIL PHARMACY",
"authorized_official_telephone_number": "405-808-1771"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OK",
"license": "1-5590",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200532040A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OU Health Pharmacy - Jimmy Everest Center",
"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 12, 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.