MEDIC PHARMACY MANAGEMENT INC NPI 1619052909

NPI Information

NPI: 1619052909
Provider Name: MEDIC PHARMACY MANAGEMENT INC
Classification: Pharmacy - 3336C0002X
Specialization: Clinic Pharmacy
Entity Type: Organization
:
Address: 5701 N PORTLAND AVE
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 949-6410

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NPI Details

MEDIC PHARMACY MANAGEMENT INC is a clinic pharmacy pharmacy in Oklahoma City, OK. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MEDIC PHARMACY MANAGEMENT INC NPI is 1619052909. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

5701 N PORTLAND AVE
OKLAHOMA CITY, OK
ZIP 73112-678
Phone: (405) 949-6410
Fax: (405) 949-6412

The provider's authorized official is Rhonda Cothran .
The authorized official title is Manager and has the following contact phone number (405) 949-6410.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	333600000X	Pharmacy		13564	OKLAHOMA	No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
3	3336C0002X	Pharmacy	Clinic Pharmacy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	90003924453	MEDICAID	OKLAHOMA
2	3717975	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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