Prophylaxis Primary Care and Behavioral Healthcare Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROPHYLAXIS PRIMARY CARE AND BEHAVIORAL HEALTHCARE SERVICES INC

Practice address

12816 S Memorial Dr Unit 121
Bixby, OK 74008-2593

Phone

(918) 970-4719

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Albert Sanchez

Title

Ceo

Phone

(479) 263-2690

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1972178275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740080334",
            "telephone_number": "918-970-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12816 S MEMORIAL DR UNIT 121",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082593",
            "telephone_number": "918-970-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPHYLAXIS PRIMARY CARE AND BEHAVIORAL HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-263-2690"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah O Powis, DPT
• Premier Pediatric and Adolescent Care of Bixby
• Sean Michael Price, PHARM.D
• Prophylaxis Healthcare LLC
• Prophylaxis Healthcare LLC
• Eliana Provenzano-Lewis
• Rapid Care, Inc.
• Jeff Ravenscroft
• Terry Justin Reavis, DDS
• Laura Reibenstein, PHARMD

• Community/Behavioral Health Agency in Bixby, OK
• Providers in Bixby, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.