CMS-1500 Box 24J / 33a • NPI
1831575752
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
3336C0003X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy
Box 32 Service Location & ZIP+4
1201B ARLINGTON ST, ADA, OK, 74820-4072
✓ 9-Digit EDI 837 ZIP+4 (74820-4072)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1831575752 (ADA APOTHECARY PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1831575752)
Medicare Beneficiaries
51
Total Billed Services
202
Distinct CPT/HCPCS Codes
9
Medicare Allowed Total
$19,278.34
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90480 | Admn sarscov2 vacc 1 dose | 39 |
90653 | Influenza vaccine, inactivated | 30 |
90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 |
91322 | Sarscov2 vac 50 mcg/0.5ml im | 38 |
G0008 | Administration of influenza virus vaccine | 38 |
G0009 | Administration of pneumococcal vaccine | 24 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1831575752 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADA APOTHECARY PLLC |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy NUCC Code: 3336C0003X (Pharmacy, Community/Retail Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1201B ARLINGTON ST, ADA, OK, 74820-4072 |
| Practice Telephone / Fax | Tel: (580) 332-2000 | Fax: (580) 332-2004 |
| Administrative Mailing Address | 1201B ARLINGTON ST, ADA, OK, 74820-4072 |
| Enumeration & Last Sync | Enumerated: 2015-08-03 | CMS Record Updated: 2017-06-29 |
| Authorized Official | BEVERLY SMITH (PIC) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (3336C0003X)
What Does Taxonomy Code 3336C0003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADA APOTHECARY PLLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
332B00000X — Durable Medical Equipment & Medical SuppliesPlain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies | State: N/A | License: Verified | Primary: Secondary |
333600000X — PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy | State: N/A | License: Verified | Primary: Secondary |
3336C0004X — Pharmacy, Compounding PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Compounding Pharmacy | State: N/A | License: Verified | Primary: Secondary |
3336H0001X — Pharmacy, Home Infusion Therapy PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Home Infusion Therapy Pharmacy | State: N/A | License: Verified | Primary: Secondary |
3336C0003X — Pharmacy, Community/Retail PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy | State: OK | License: 237302 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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