The Children's Center, Inc. Dba Bethany Community Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THE CHILDREN'S CENTER, INC. DBA BETHANY COMMUNITY PHARMACY

Practice address

6770 NW 39TH Expy
Bethany, OK 73008-2646

Phone

(405) 440-6797

Fax

(405) 440-6798

NPI assigned

Nov 13, 2019

Organization subpart

No

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

Authorized official

Name

Nico Gomez

Title

Ceo

Phone

(405) 789-6711

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

The Children's Center Inc Dba Bethany Community Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• The Children's Center

  • Durable Medical Equipment & Medical Supplies
  • Bethany, OK
  • NPI 1336235910
  NPD tax ID
• The Children's Center

  • Medical Specialty Clinic/Center
  • Bethany, OK
  • NPI 1881780450
  NPD tax ID
• The Children's Center, Inc.

  • Multi-Specialty Clinic/Center
  • Bethany, OK
  • NPI 1225686504
  NPD tax ID
• The Children's Center, Inc.

  • Children's Hospital
  • Bethany, OK
  • NPI 1740395409
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura B Shamblin, MD

  • Developmental - Behavioral Pediatrics Physician
  • Oklahoma City, OK
  • NPI 1487795324
  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1952946022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082646",
            "telephone_number": "405-440-6797",
            "fax_number": "405-440-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082646",
            "telephone_number": "405-440-6797",
            "fax_number": "405-440-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S CENTER, INC. DBA BETHANY COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "NICO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-789-6711"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100677110J",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "credentialing@tccokc.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6800 NW 39th Expy",
            "city": "Bethany",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730082513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Desiree Taylor, LPC
• The Children's Center
• The Children's Center
• The Children's Center, Inc.
• The Children's Center, Inc.
• The Well Psychology and Counseling
• Bucy Annie Rajan Thomas, NP
• Carlotta Annette Thomas
• Matalea Thompson
• Nafeesah Thompson, APRN

• Community/Retail Pharmacy in Bethany, OK
• Providers in Bethany, 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 Aug 14, 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.