Bobs Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

72697 Issued in OK

Legal business name

BOBS PHARMACY

Practice address

210 SW 89TH St
Oklahoma City, OK 73139-8532

Phone

(405) 631-8174

Fax

(405) 631-8164

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Bob James

Title

Owner

Phone

(405) 631-8174

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BOBS PHARMACY Doing business as

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1932298585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398532",
            "telephone_number": "405-631-8174",
            "fax_number": "405-631-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398532",
            "telephone_number": "405-631-8174",
            "fax_number": "405-631-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-631-8174"
    },
    "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": "72697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073932",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOBS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bobby Moore DPT, PLLC
• Bobby R Jacobs MD PC
• Toni Bobek
• Delandria Bobo
• Mary L Bobo, LCSW
• Taylor Jolie Bochnowski
• Alan Stuart Bock, M.D.
• Dana J Bock, MD
• Stacy Ann Bockelman, OTR/L
• Marie Danelle Bockus, D.D.S.

• Community/Retail Pharmacy in Oklahoma City, OK
• Providers in Oklahoma City, 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 Dec 2, 2016; 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.