Active NPI
Oak Creek RX
Doing business as Oak Creek Rx, LLC
- Community/Retail Pharmacy
- Omaha, NE
National Provider Identifier
1710433172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 673
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2163981 | Other | PK |
Other names 1
- Oak Creek Rx, LLC
National Provider Directory
National Provider DirectoryLocations
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.