MEDICARE: UNITED DISCOUNT PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336C0004X	Compounding Pharmacy
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2145853	OTHER		PK

General Provider Information

NPI Number	:	1326458563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED DISCOUNT PHARMACY LLC

Provider Business Mailing Address
First Line	:	5420 N PORTLAND AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2072
Country	:	US
Telephone Number	:	405-947-6828
Fax Number	:	405-946-3346

Provider Business Practice Location Address
First Line	:	5420 N PORTLAND AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2072
Country	:	US
Telephone Number	:	405-947-6828
Fax Number	:	405-946-3346

Authorized Official
Title or Position	:	OWNER
Name	:	SEAN ENNIS
Credential	:
Telephone Number	:	405-947-6828

Provider Enumeration Date	:	04/28/2014
Last Update Date	:	01/27/2026

Similar Medicare Providers

1598840670 — UNITED DISCOUNT PHARMACY #2
Practice Location Address:

5420 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2072

Practice Phone: 405-947-6828
Practice Fax: 405-946-3346

1639228711 — FIRST CHOICE HOME MEDICAL, INC
Practice Location Address:

5416 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2072

Practice Phone: 405-702-6656
Practice Fax: 405-702-6659

1578109195 — BRETT RAY WEAVER DC
Practice Location Address:

5416 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2072

Practice Phone: 405-724-8980
Practice Fax:

1164281945 — HEALTH BARON LLC
Practice Location Address:

5416 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2072

Practice Phone: 405-724-8980
Practice Fax:

1891094108 — OPTION 1 NUTRITION SOLUTIONS LLC
Practice Location Address:

4149 HIGHLINE BLVD STE 275
OKLAHOMA CITY, OK
73108-2072

Practice Phone: 866-883-1188
Practice Fax: 833-896-7003

1962775759 — MRS. SARAH HENDRIX OTR
Practice Location Address:

3120 W BRITTON RD
OKLAHOMA CITY, OK
73120-2072

Practice Phone: 405-749-2400
Practice Fax: 405-749-2402

Directions to “UNITED DISCOUNT PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.