Active NPI
Aristacare Health Inc
- Community/Retail Pharmacy
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ARISTACARE HEALTH INC
- Practice address
- 7512 Broadway Ext Ste 308
Oklahoma City, OK 73116-9055 - Phone
- (405) 212-5669
- Fax
- (405) 653-9445
- NPI assigned
- May 24, 2023
- Last updated
- May 24, 2023
- 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
- Jayne Justice
- Title
- Vice President
- Phone
- (847) 490-3995
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
7512 Broadway Ext Ste 308
Oklahoma City, OK 73116-9055
Mailing address
7512 Broadway Ext Ste 308
Oklahoma City, OK 73116-9055
Phone (405) 212-5669
Other practice location 1
7512 Broadway Ext Ste 308
Oklahoma City, OK 73116-9055
Phone (405) 212-5669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240412003152 | OK | DME Supplier - Pharmacy | 9234431677 | Practice locations: Oklahoma City, OK |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Aristacare Health Inc | External Infusion Pumps and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Aristacare Health Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Syracuse, NY
- NPI 1437818093
-
- Community/Retail Pharmacy
- Hoffman Estates, IL
- NPI 1447482658
-
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1972385565
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Kinney Drugs #17
- Community/Retail Pharmacy
- Potsdam, NY
- NPI 1265549448
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684886400000",
"number": "1740972058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7512 BROADWAY EXT STE 308",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731169055",
"telephone_number": "405-212-5669",
"fax_number": "405-653-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7512 BROADWAY EXT STE 308",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731169055",
"telephone_number": "405-212-5669",
"fax_number": "405-653-9445"
}
],
"practiceLocations": [
{
"address_1": "7512 Broadway Ext Ste 308",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731169055",
"country_code": "US",
"telephone_number": "405-212-5669",
"fax_number": "405-653-9445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ARISTACARE HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A",
"authorized_official_last_name": "JUSTICE",
"authorized_official_first_name": "JAYNE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "847-490-3995"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 24, 2023; 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.