OrganizationActive
23rd Street Pharmacy LLC
NPI 1215202064 · Community/Retail Pharmacy · Oklahoma City, OK
23rd Street Pharmacy LLC is a Community/Retail Pharmacy organization in Oklahoma City, OK (NPI 1215202064).
Provider details
- NPI number
- 1215202064
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mickey Phan, Owner(405) 513-0710
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2316 Nw 23rd St
Oklahoma City, OK 73107-2406
Phone: (405) 602-6442
Fax: (405) 602-6449
Street-level locationGet directions
Mailing address
2316 Nw 23rd St
Oklahoma City, OK 73107-2406
Other names (DBA / former)
- Doing business as
- 23rd Street Pharmacy
Registry dates
- Enumerated
- 2012-03-13
- Last updated
- 2016-06-16
Frequently asked questions
- What is 23rd Street Pharmacy LLC's NPI number?
- 23rd Street Pharmacy LLC's National Provider Identifier (NPI) is 1215202064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 23rd Street Pharmacy LLC?
- 23rd Street Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is 23rd Street Pharmacy LLC located?
- 23rd Street Pharmacy LLC's practice location on file with NPPES is 2316 Nw 23rd St, Oklahoma City, OK 73107-2406.
- What is 23rd Street Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for 23rd Street Pharmacy LLC is (405) 602-6442.
- Who is the authorized official for 23rd Street Pharmacy LLC?
- The authorized official listed on 23rd Street Pharmacy LLC's NPPES record is Mickey Phan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 23rd Street Pharmacy LLC's NPI active?
- Yes — 23rd Street Pharmacy LLC's NPI (1215202064) is active in the NPPES registry as of the last update on 2016-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.