Organization Active NPI

Diversity Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1790471407
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DIVERSITY FAMILY PHARMACY INC
Doing business as
Diversity Family Pharmacy
Practice address
1211 N Shartel Ave Ste 300a
Oklahoma City, OK 73103-2425
Phone
(405) 778-6820
NPI assigned
Apr 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Qaiuum FerozNPI 1386215382
Title
President
Phone
(405) 778-6820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1211 N Shartel Ave Ste 300a
Oklahoma City, OK 73103-2425

Mailing address

1211 N Shartel Ave Ste 300a
Oklahoma City, OK 73103-2425
Phone (405) 778-6820

Other names 1

  • Diversity Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1211 N Shartel Ave
Ste 300A
Oklahoma City, OK 73103
Phone (405) 778-6820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1790471407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 300A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032425",
            "telephone_number": "405-778-6820",
            "fax_number": "405-778-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 300A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032425",
            "telephone_number": "405-778-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "FEROZ",
        "authorized_official_first_name": "QAIUUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-778-6820"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversity Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversity Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 2023; 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.