NPIMap

Organization Active NPI

Glenpool Pharmacy Inc

Doing business as Medicap Pharmacy

  • Community/Retail Pharmacy
  • Tulsa, OK
National Provider Identifier
1871823781
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25496 Issued in OK
Legal business name
GLENPOOL PHARMACY INC
Doing business as
Medicap Pharmacy
Practice address
1601 N Peoria Ave
Tulsa, OK 74106-4463
Phone
(918) 322-3667
Fax
(918) 322-3667
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Matthew Morgan
Title
Specialist, Customer Ops Support
Phone
(614) 652-1509

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 25496 OK Primary

Addresses

Primary practice location

1601 N Peoria Ave
Tulsa, OK 74106-4463

Mailing address

PO Box 887
Glenpool, OK 74033-0887
Phone (918) 322-3667

Other identifiers 1

IdentifierTypeStateIssuer
3726037OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDICAP PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glenpool Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1871823781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740330887",
            "telephone_number": "918-322-3667",
            "fax_number": "918-322-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741064463",
            "telephone_number": "918-322-3667",
            "fax_number": "918-322-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENPOOL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SPECIALIST, CUSTOMER OPS SUPPORT",
        "authorized_official_telephone_number": "614-652-1509"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "25496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3726037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP 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 Jun 27, 2012; 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.