Tulsa Hills Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-6487 Issued in OK

Legal business name

TULSA HILLS PHARMACY LLC

Doing business as

Olympia Pharmacy

Practice address

6802 S Olympia Ave
Ste 125
Tulsa, OK 74132-1823

Phone

(918) 513-3234

Fax

(918) 513-3229

NPI assigned

Nov 13, 2013

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawn CrismonNPI 1982260683

Title

Pharmacy Manager

Phone

(918) 513-3234

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Olympia Pharmacy Doing business as

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.

• Shawn Crismon, D.PH.

  • Pharmacist
  • Tulsa, OK
  • NPI 1982260683
  NPD (past) Authorized official

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1881024727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE",
            "address_2": "STE 125",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321823",
            "telephone_number": "918-513-3234",
            "fax_number": "918-513-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE",
            "address_2": "STE 125",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321823",
            "telephone_number": "918-513-3234",
            "fax_number": "918-513-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA HILLS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "CRISMON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "918-513-3234"
    },
    "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": "2-6487",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200520280A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tulsa Health Group, PLC
• Tulsa Health Supplies
• Tulsa Heart Specialists, PLLC
• Tulsa Hills Community Inc (Covenant Living at Inverness)
• Tulsa Hills Eye Associates PLLC
• Tulsa Honor Academy Inc
• Tulsa Hope Dental PLLC (Hope Restorative and Cosmetic Dentistry)
• Tulsa Hospital Medicine Physicians Group, LLC
• Tulsa Hospitalists Inc
• Tulsa Internal Medicine Physicians, PLLC

• Community/Retail Pharmacy in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.