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COMMUNITY PHARMACY LLC NPI 1942340898


NPI Information

NPI: 1942340898
Provider Name: COMMUNITY PHARMACY, LLC

Doing Business As: FOUNTAIN PARK PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 37D0994726

Address:
3125 SW 89 ST
OKLAHOMA CITY, OK
ZIP 73159
Phone: (405) 605-7700
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COMMUNITY PHARMACY, LLC is a community/retail pharmacy pharmacy in Oklahoma City, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COMMUNITY PHARMACY, LLC NPI is 1942340898. The provider is registered as an organization entity type.
The provider Is Doing Business As Fountain Park Pharmacy.

The provider's business location address is:

3125 SW 89 ST
OKLAHOMA CITY, OK
ZIP 73159
Phone: (405) 605-7700
Fax: (405) 605-7712

The provider's authorized official is Ed Gray .
The authorized official title is Managing Member and has the following contact phone number (405) 419-7716.

The CLIA number assigned to this NPI record is 37D0994726 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy1-5137OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13724754OTHEROKLAHOMANCPDP

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: 11/14/2023

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