Organization Active NPI

Affordable Pharmacy and Health Food Center LLC

Doing business as Affordable Pharmacy

  • Community/Retail Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1861854713
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17848 Issued in OK
Legal business name
AFFORDABLE PHARMACY AND HEALTH FOOD CENTER LLC
Doing business as
Affordable Pharmacy
Practice address
2636 SW 28TH St
Oklahoma City, OK 73108-5823
Phone
(405) 636-4091
Fax
(405) 353-7023
NPI assigned
Mar 21, 2016
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
I Nguyen
Title
Manager
Phone
(405) 636-4091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 17848 OK Primary

Addresses

Primary practice location

2636 SW 28TH St
Oklahoma City, OK 73108-5823

Mailing address

2636 SW 28TH St
Oklahoma City, OK 73108-5823
Phone (405) 636-4091

Other identifiers 2

IdentifierTypeStateIssuer
200639500AMedicaidOK
2158653OtherPK

Other names 1

  • AFFORDABLE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2636 SW 28th St
Oklahoma City, OK 73108
Phone (405) 602-5330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1861854713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 SW 28TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731085823",
            "telephone_number": "405-636-4091",
            "fax_number": "405-353-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 SW 28TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731085823",
            "telephone_number": "405-636-4091",
            "fax_number": "405-353-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE PHARMACY AND HEALTH FOOD CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "I",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-636-4091"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "17848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200639500A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158653",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFORDABLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFFORDABLE 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 Nov 3, 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.