Pill Box Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11-6064 Issued in OK

Legal business name

PILL BOX PHARMACY LLC

Doing business as

Pill Box Pharmacy

Practice address

1329 S Main St Unit C
Sapulpa, OK 74066-5505

Phone

(918) 512-6635

Fax

(918) 512-6638

NPI assigned

Sep 20, 2012

Organization subpart

No

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

Authorized official

Name

Melinda Kay Mast, PHARMD

Title

Owner/Pic

Phone

(918) 512-6635

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pill Box Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Carla Kay Pilkington, DPH

  • Pharmacist
  • Sapulpa, OK
  • NPI 1346717063
  NPD

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1962753764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 S MAIN ST",
            "address_2": "UNIT C",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740665500",
            "telephone_number": "918-512-6635",
            "fax_number": "918-512-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 S MAIN ST UNIT C",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740665505",
            "telephone_number": "918-512-6635",
            "fax_number": "918-512-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILL BOX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "918-512-6635",
        "authorized_official_credential": "PHARMD"
    },
    "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": "11-6064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200458560A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137125",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pill Box Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pill Box Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marykay Elizabeth Phillips
• Stella Phillips
• Daniel Judson Philson
• Phoenix Healthcare LLC (The Gardens)
• Carla Kay Pilkington, DPH
• Courtney Pitts
• Richard S Pitts, DMD
• Jonathan Mark Poff
• Joshua Polston
• Carla Sue Poulos

• Community/Retail Pharmacy in Sapulpa, OK
• Providers in Sapulpa, 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 Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.