OKLAHOMA CVS PHARMACY, L.L.C. (NPI# 1023311578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023311578 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #02478 |
| Practice Address |
6342 E Admiral Pl N Tulsa OK 74115-8626 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 9188361715 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2011-03-04 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICAID DME | 200113030R | 01 |
| NCPDP | 3726429 | 01 | |
| OK | 200113030S | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #02478 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952704769 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6116 S. Lewis Ave, Tulsa, OK 74105 | 2014-10-07 |
| 1861891350 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2107 Nw Cache Rd, Lawton, OK 73505-5213 | 2014-08-20 |
| 1235541483 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3711 E Frank Phillips Blvd, Bartlesville, OK 74006-2417 | 2014-05-22 |
| 1326468042 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11223 E 31st St, Tulsa, OK 74146-1708 | 2014-04-21 |
| 1861819682 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 304 North York St, Muskogee, OK 74403-4658 | 2014-03-19 |
| 1053744250 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 21 S Strong Blvd, Mcalester, OK 74501-4431 | 2013-08-12 |
| 1942632757 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8010 E 51st Street S, Tulsa, OK 74145-7827 | 2013-08-02 |
| 1871935767 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1520 W Elk Ave, Duncan, OK 73533-3763 | 2013-07-22 |
| 1588971956 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 12902 E 96th St N, Owasso, OK 74055-4778 | 2010-09-08 |
| 1487974580 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Nw 36th Ave, Norman, OK 73072 | 2010-06-11 |
| Street Address |
6342 E ADMIRAL PL N |
| City | TULSA |
| State | OK |
| Zip Code | 74115-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698899 | Pateisha Royal | Counselor | 7813 E. Independence St., Tulsa, OK 74115 | 2017-06-08 |
| 1154788750 | Heather Sisson-white | Case Manager/Care Coordinator | 132 N. Marion Ave, Tulsa, OK 74115 | 2016-01-27 |
| 1427234004 | American Current Care P.a. | Clinic/Center | 1541 North Sheridan Road, Tulsa, OK 74115 | 2008-01-14 |
| 1205031317 | Veera Aparanji Kaja | Dentist | 6801 E. Admiral Place, Tulsa, OK 74115 | 2007-06-19 |
| 1922137926 | Gregory L Mitchell | Preventive Medicine | 1515 N Harvard, Suite B, Tulsa, OK 74115 | 2007-03-05 |
| 1215942602 | G Chris Bussman | Dentist | 6716 E Pine, Tulsa, OK 74115 | 2006-07-31 |
| 1205870912 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | Bcchs Celia Clinton Elementary, 1740 N. Harvard Ave., Tulsa, OK 74115 | 2006-06-15 |
| 1356853832 | Phoenix Soleil-maria Cooper | Case Manager/Care Coordinator | 3641 E 36th St N, Tulsa, OK 74115-1702 | 2017-10-24 |
| 1215380449 | Taleya Mayberry | Case Manager/Care Coordinator | 4115 E 36th St N, Tulsa, OK 74115-1709 | 2016-07-23 |
| 1104925619 | Marsha Ann Basner | Nutritionist | 3324 E 30th Pl N, Tulsa, OK 74115-2421 | 2006-09-21 |
| Find all providers in zip 74115 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639611403 | Saint Francis Pharmacy Services | Pharmacy | 6161 S Yale B Level Blue North, Tulsa, OK 74136 | 2016-11-10 |
| 1780040675 | Convenient Rx | Pharmacy | 5272 S Lewis Ave Ste 240, Tulsa, OK 74105-6568 | 2016-01-07 |
| 1386021996 | Costco Wholesale Corporation | Pharmacy | 10220 S Memorial Dr, Tulsa, OK 74133 | 2015-05-04 |
| 1124427745 | Bethel Pharmacy LLC | Pharmacy | 205 E Pine St Ste 7, Tulsa, OK 74106-4859 | 2014-08-19 |
| 1437433448 | Harvard Family Physicians P C | Pharmacy | 7912 E 31st Ct Ste 130, Tulsa, OK 74145-1346 | 2011-10-10 |
| 1871823781 | Glenpool Pharmacy Inc | Pharmacy | 1601 N Peoria Ave, Tulsa, OK 74106-4463 | 2009-12-29 |
| 1457684557 | Metro Pharmacy and Medical Supplies Inc | Pharmacy | 575 E 36th St N, Tulsa, OK 74106-1812 | 2009-09-08 |
| 1427292432 | Aura Corp | Pharmacy | 8066 S Memorial Dr, Tulsa, OK 74133-3644 | 2009-04-22 |
| 1538301197 | Quality First Medical Supplies LLC | Pharmacy | 115 W 3rd St Ste 820, Tulsa, OK 74103-3410 | 2009-03-28 |
| 1881763043 | Mays Drugs Stores Inc | Pharmacy | 9070 East 31st Street, Tulsa, OK 74145 | 2006-11-06 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.