MEDICARE: TD PHARMACY SERVICES, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1558024257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TD PHARMACY SERVICES, PLLC

Provider Business Mailing Address
First Line	:	3810 N. TULSA AVE.
Second Line	:	STE H
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112
Country	:	US
Telephone Number	:	405-805-6191
Fax Number	:

Provider Business Practice Location Address
First Line	:	3810 N. TULSA AVE.
Second Line	:	STE H
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112
Country	:	US
Telephone Number	:	405-805-6191
Fax Number	:

Authorized Official
Title or Position	:	OWNER CEO FOUNDER
Name	:	TARA ANN DOMINGUEZ
Credential	:	PHARM D
Telephone Number	:	405-805-6191

Provider Enumeration Date	:	10/19/2021
Last Update Date	:	10/19/2021

Similar Medicare Providers

1255165650 — LACEY BERNICE IVES APRN-CNP
Practice Location Address:

3300 NW EXPRESSWAY
OKLAHOMA CITY, OK
73112-4418

Practice Phone: 405-949-3011
Practice Fax:

1609722792 — LINDSEY RAE CRAWFORD APRN
Practice Location Address:

3300 NW EXPRESSWAY
OKLAHOMA CITY, OK
73112-4418

Practice Phone: 405-949-3011
Practice Fax:

1588101596 — DR. YOMBI MELANIE VALENTINE NGOUANYO TAPONNO APRN
Practice Location Address:

5300 N MERIDIAN AVE STE 8
OKLAHOMA CITY, OK
73112-2137

Practice Phone: 405-768-2121
Practice Fax: 405-768-2232

1841147832 — SMILING FACES OKC PLLC
Practice Location Address:

5222 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2070

Practice Phone: 405-947-1525
Practice Fax:

1164538872 — DR. LOUIS HOWARD COX M.D.
Practice Location Address:

5401 N PORTLAND AVE STE 320
OKLAHOMA CITY, OK
73112-2091

Practice Phone: 405-458-7188
Practice Fax: 405-384-7128

1760681837 — LOUIS H COX MD INC
Practice Location Address:

5401 N PORTLAND AVE STE 320
OKLAHOMA CITY, OK
73112-2091

Practice Phone: 405-458-7188
Practice Fax: 405-384-7128

1245187111 — SUMMER BULLARD
Practice Location Address:

3505 WILLOW SPRINGS DR
OKLAHOMA CITY, OK
73112-3165

Practice Phone: 405-724-5222
Practice Fax:

Directions to “TD PHARMACY SERVICES, PLLC ” 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.