Pharmcareok, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

16495 Issued in OK

Legal business name

PHARMCAREOK, INC.

Practice address

6000 NW 2ND St
Suite 200a
Oklahoma City, OK 73127-6530

Phone

(405) 787-3939

Fax

(405) 787-3959

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Miss Erica Deniah Creswell

Title

Executive Admin

Phone

(405) 663-4111

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

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

Tax ID family

Pharmcareok 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, Inc.

  • Community/Retail Pharmacy
  • Bethany, OK
  • NPI 1013340249
  NPD tax ID

Member organizations 3

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

• Pharmcareok of Durant Inc

  • Long Term Care Pharmacy
  • Durant, OK
  • NPI 1356370076

  Member Of

  NPD member
• Pharmcareok of Enid, Inc.

  • Long Term Care Pharmacy
  • Enid, OK
  • NPI 1134158850

  Member Of

  NPD member
• Pharmcareok of Hydro Inc

  • Long Term Care Pharmacy
  • Hydro, OK
  • NPI 1457380164

  Member Of

  NPD member

Locations

Practitioners 5

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

• Danielle Eck, DPH

  • Pharmacist
  • Oklahoma City, OK
  • NPI 1659973428
  NPD (past)
• Laura Ezersky

  • Pharmacist
  • Oklahoma City, OK
  • NPI 1275135006
  NPD (past)
• Jason Bradford Johnston

  • Pharmacist
  • Oklahoma City, OK
  • NPI 1982207767
  NPD (past)
• Darla Kay Jurgensen, DPH

  • Pharmacist
  • Oklahoma City, OK
  • NPI 1295337079
  NPD (past)
• Rebecca Helen Knight, DPH

  • Pharmacist
  • Oklahoma City, OK
  • NPI 1891384129
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1720017445",
    "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": "73048",
            "telephone_number": "405-787-3939",
            "fax_number": "405-787-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 NW 2ND ST",
            "address_2": "SUITE 200A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276530",
            "telephone_number": "405-787-3939",
            "fax_number": "405-787-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCAREOK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "CRESWELL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "DENIAH",
        "authorized_official_title_or_position": "EXECUTIVE ADMIN",
        "authorized_official_telephone_number": "405-663-4111",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "14399",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "16495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246000A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3722279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Long Term Care Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.