Active NPI
Imc Neighborhood Pharmacy LLC
Doing business as IMC Neighborhood pharmacy
- Long Term Care Pharmacy
- Tulsa, OK
National Provider Identifier
1790441897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- IMC NEIGHBORHOOD PHARMACY LLC
- Doing business as
- IMC Neighborhood pharmacy
- Practice address
- 6333 E 120TH CT Ste a
Tulsa, OK 74137-8800 - Phone
- (918) 576-6602
- NPI assigned
- Nov 12, 2021
- Organization subpart
- Yes
- Parent organization
- IMC NEIGHBORHOOD PHARMACY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fidelis Ifeanyi Ariguzo
- Title
- Pharmacist in Charge
- Phone
- (918) 576-6602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
6333 E 120TH CT Ste a
Tulsa, OK 74137-8800
Mailing address
6333 E 120TH CT Ste a
Tulsa, OK 74137-8800
Phone (918) 576-6602
Other names 1
- IMC Neighborhood pharmacy
National Provider Directory
National Provider Directory- Part of
- Imc Neighborhood Pharmacy LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Tulsa, OK
- NPI 1427649102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636675200000",
"number": "1790441897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 E 120TH CT STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741378800",
"telephone_number": "918-576-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 E 120TH CT STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741378800",
"telephone_number": "918-576-6602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMC NEIGHBORHOOD PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IMC NEIGHBORHOOD PHARMACY LLC",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-10-22",
"status": "A",
"authorized_official_last_name": "IFEANYI ARIGUZO",
"authorized_official_first_name": "FIDELIS",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "918-576-6602"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IMC Neighborhood pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.