NPIMap

Organization Active NPI

Medcare United Charitable Pharmacy Inc.

  • Community/Retail Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1962842062
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1-5412 Issued in OK
Legal business name
MEDCARE UNITED CHARITABLE PHARMACY INC.
Practice address
711 Stanton L Young Blvd
Suite 100
Oklahoma City, OK 73104-5023
Phone
(405) 271-6278
Fax
(405) 271-6287
NPI assigned
Jul 3, 2013
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Tamberlyn Herd, RPHNPI 1134564511
Title
Pharmacy Director
Phone
(405) 271-6278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 1-5412 OK
Pharmacy 333600000X 1-5412 OK
Clinic Pharmacy 3336C0002X 1-5412 OK
Community/Retail Pharmacy 3336C0003X 1-5412 OK Primary
Mail Order Pharmacy 3336M0002X 1-5412 OK

Addresses

Primary practice location

711 Stanton L Young Blvd
Suite 100
Oklahoma City, OK 73104-5023

Mailing address

711 Stanton L Young Blvd
Suite 100
Oklahoma City, OK 73104-5023
Phone (405) 271-6278

National Provider Directory

National Provider Directory

Locations

711 Stanton L Young Blvd
Ste 100
Oklahoma City, OK 73104
Phone (405) 271-6278

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": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1962842062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 STANTON L YOUNG BLVD",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045023",
            "telephone_number": "405-271-6278",
            "fax_number": "405-271-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 STANTON L YOUNG BLVD",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045023",
            "telephone_number": "405-271-6278",
            "fax_number": "405-271-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE UNITED CHARITABLE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "HERD",
        "authorized_official_first_name": "TAMBERLYN",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "405-271-6278",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OK",
            "license": "1-5412",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "1-5412",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OK",
            "license": "1-5412",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "1-5412",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "OK",
            "license": "1-5412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 3, 2013; 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.