Organization Active NPI

Icare Pharmacy

  • Community/Retail Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1942084520
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ICARE PHARMACY
Doing business as
Icare Pharmacy
Practice address
5201 S Western Ave Ste 200
Oklahoma City, OK 73109-4521
Phone
(405) 768-2270
Fax
(405) 353-7023
NPI assigned
Aug 23, 2023
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

5201 S Western Ave Ste 200
Oklahoma City, OK 73109-4521

Mailing address

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

Other names 1

  • ICARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

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": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1942084520",
    "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": "5201 S WESTERN AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094521",
            "telephone_number": "405-768-2270",
            "fax_number": "405-353-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-636-4091"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ICARE 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 Jan 18, 2024; 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.