NPIMap

Organization Active NPI

Pharmcareok of Tulsa, Inc.

  • Long Term Care Pharmacy
  • Catoosa, OK
National Provider Identifier
1720017437
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMCAREOK OF TULSA, INC.
Practice address
2760 N S Highway 167
Catoosa, OK 74015
Phone
(918) 379-0404
Fax
(877) 505-7999
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Mr. Barney Kent Abbott, PHARM. D
Title
Pres Ceo
Phone
(405) 663-4111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 294408 OK
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2760 N S Highway 167
Catoosa, OK 74015

Mailing address

PO Box 70
Hydro, OK 73048-0070
Phone (918) 379-0404

Other practice location 1

750 South Cherokee St
Suite B
Catoosa, OK 74015
Phone (918) 379-0404

Other practice location 2

750 South Cherokee St
Suite B
Catoosa, OK 74015
Phone (918) 379-0404

Other identifiers 2

IdentifierTypeStateIssuer
100246040AMedicaidOK
3722306OtherNCPDP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120316000083 OK DME Supplier - Pharmacy 9032378732 Practice locations: Catoosa, OK
O20210112002936 OK Part B Supplier - Mass Immunization (Roster Biller Only) 9032378732 Practice locations: Catoosa, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pharmcareok of Tulsa Inc2760 N S Highway 167, Catoosa, OK 74015-2461(918) 379-0404 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral E… Accepts assignmentParticipating since Jan 1, 2024

National Provider Directory

National Provider Directory
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.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

2760 N South Highway 167
Catoosa, OK 74015
Phone (918) 379-0404

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1720017437",
    "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": "918-379-0404",
            "fax_number": "877-505-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 N S HIGHWAY 167",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "74015",
            "telephone_number": "918-379-0404",
            "fax_number": "877-505-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 South Cherokee St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Catoosa",
            "state": "OK",
            "postal_code": "74015",
            "country_code": "US",
            "telephone_number": "918-379-0404",
            "fax_number": "918-379-0293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 South Cherokee St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Catoosa",
            "state": "OK",
            "postal_code": "74015",
            "country_code": "US",
            "telephone_number": "918-379-0404",
            "fax_number": "918-379-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHARMCAREOK OF TULSA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "BARNEY",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRES  CEO",
        "authorized_official_telephone_number": "405-663-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "294408",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246040A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3722306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catoosa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.