NPIMap

Organization Active NPI

Henry Roberts Express Pharmacy LLC

  • Pharmacy
  • Ardmore, OK
National Provider Identifier
1750527925
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
12-4184 Issued in OK
Legal business name
HENRY ROBERTS EXPRESS PHARMACY LLC
Doing business as
Express Pharmacy Vital Care
Practice address
1306 12TH Ave NW
Ardmore, OK 73401-1285
Phone
(580) 226-2684
Fax
(580) 226-3902
NPI assigned
Dec 18, 2008
Organization subpart
Yes
Parent organization
HENRY ROBERTS EXPRESS PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Henry Roberts
Title
Owner
Phone
(580) 226-2684

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 12-4184 OK Primary
Community/Retail Pharmacy 3336C0003X 12-4184 OK
Home Infusion Therapy Pharmacy 3336H0001X 12-4184 OK

Addresses

Primary practice location

1306 12TH Ave NW
Ardmore, OK 73401-1285

Mailing address

1306 12TH Ave NW
Ardmore, OK 73401-1285
Phone (580) 226-2684

Other names 1

  • Express Pharmacy Vital Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Henry Roberts Express Pharmacy4 organizations share this tax ID, including this one
Part of
Henry Roberts Express Pharmacy

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1750527925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 12TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011285",
            "telephone_number": "580-226-2684",
            "fax_number": "580-226-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 12TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011285",
            "telephone_number": "580-226-2684",
            "fax_number": "580-226-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY ROBERTS EXPRESS PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY ROBERTS EXPRESS PHARMACY LLC",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-226-2684"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "12-4184",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "12-4184",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "OK",
            "license": "12-4184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.