Organization Active NPI

Oak Creek RX

Doing business as Oak Creek Rx, LLC

  • Community/Retail Pharmacy
  • Omaha, NE
National Provider Identifier
1710433172
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
673 Issued in NE
Legal business name
OAK CREEK RX
Doing business as
Oak Creek Rx, LLC
Practice address
8607 F St
Omaha, NE 68127-1604
Phone
(402) 307-2566
Fax
(402) 999-0614
NPI assigned
Aug 26, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Anitha Teekaraman
Title
Managing Member
Phone
(402) 307-2566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 673 NE Primary

Addresses

Primary practice location

8607 F St
Omaha, NE 68127-1604

Mailing address

8607 F St
Omaha, NE 68127-1604
Phone (402) 307-2566

Other identifiers 1

IdentifierTypeStateIssuer
2163981OtherPK

Other names 1

  • Oak Creek Rx, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

8607 F St
Omaha, NE 68127
Phone (402) 307-2566

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1710433172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271604",
            "telephone_number": "402-307-2566",
            "fax_number": "402-999-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271604",
            "telephone_number": "402-307-2566",
            "fax_number": "402-999-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "TEEKARAMAN",
        "authorized_official_first_name": "ANITHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "402-307-2566"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163981",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Creek Rx, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.