Glenpool Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GLENPOOL PHARMACY INC

Doing business as

Medicap Pharmacy

Practice address

262 E 141St Street
Glenpool, OK 74033

Phone

(918) 322-3667

Fax

(918) 322-5923

NPI assigned

Dec 8, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Green, DPHNPI 1598357030

Title

Owner Pharmacist

Phone

(918) 322-3667

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Medicap Pharmacy Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan L Green, DPH

  • Pharmacist
  • Glenpool, OK
  • NPI 1598357030
  NPD (past) Authorized official
• Beverly Margaret Myers, D.PH.

  • Pharmacist
  • Glenpool, OK
  • NPI 1063577898
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750440129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740330887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 E 141ST STREET",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "74033",
            "telephone_number": "918-322-3667",
            "fax_number": "918-322-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENPOOL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "918-322-3667",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "23831",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239390A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003921020",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239390B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3714549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenpool Eye Care, PLLC
• Glenpool Family Clinic a Prof Corp
• Glenpool Health Services LLC
• Glenpool Operations LLC (Glennwood Healthcare)
• Glenpool Pain Management LLC (Glenpool Pain Management)
• Glenpool Public Schools
• John L Gosnell, O.D.
• Emily Sue Gottlob, MS., CCC-SLP
• Green Country Emdr Therapy PLLC
• Bryan L Green, DPH

• Community/Retail Pharmacy in Glenpool, OK
• Providers in Glenpool, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.