=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891693768
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OK FIRST MED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/29/2026
-----------------------------------------------------
Last Update Date | 10/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 211 N ROBINSON AVE STE 1114
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73102-7109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-594-5315
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9905 S PENNSYLVANIA AVE STE A
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73159-6920
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-594-5315
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | ASELA MOYA HERRERA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 405-594-5315
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0002X
-----------------------------------------------------
Taxonomy Name | Clinic Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------