Bc2Rx, LLC
Organization Active NPI Community/Retail Pharmacy · Choctaw, OK
NPI 1831797380 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1831797380
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BC2RX, LLC
- Practice address
- 16925 NE 23Rd St Ste 101
Choctaw, OK 73020-8410 - Phone
- (405) 281-6363
- Fax
- (405) 281-1302
- NPI assigned
- Oct 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Carrie Carter, PHARM D
- Title
- Owner
- Phone
- (405) 281-6363
Practitioners 1
-
Carrie Carter, PHARM D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211014002413 | OK | Part B Supplier - Pharmacy | 8628476058 | Practice locations: Choctaw, OK |
National Provider Directory
Locations
16925 NE 23rd St
Ste 101
Choctaw, OK 73020
Phone (405) 281-6363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
16925 NE 23Rd St Ste 101
Choctaw, OK 73020-8410
Mailing address
13820 Ravenswood Dr
Choctaw, OK 73020-7104
Phone (405) 281-6363
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OK200946090A | Medicaid | OK |
Other names
- Carter Pharmacy
Other providers in Choctaw, OK
- Esmeralda Angeles
- Gina Aranda
- Angela Ayers
- Meredith Bailey
- Melanie Baird
- Laura Berglan
- Warren Charles Berry
- Amanda Louise Besteda
- Cormiere Von Bishop
- Amber R Black
All providers in Choctaw, OK · Community/Retail Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.