Organization Active NPI

Imc Neighborhood Pharmacy LLC

Doing business as IMC Neighborhood pharmacy

  • Long Term Care Pharmacy
  • Tulsa, OK
National Provider Identifier
1790441897
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.