STATE OF OKLAHOMA (NPI# 1124286059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124286059 |
| Entity Type | Organization |
| Organization Name | STATE OF OKLAHOMA |
| Other Organization Name | SULPHUR VETERANS CENTER |
| Practice Address |
304 Fairlane Ave Sulphur OK 73086-6861 |
| Practice Telephone | 5806227500 |
| Practice Fax Number | 5806227500 |
| Mailing Telephone | 5806227500 |
| Mailing Fax Number | 5806227500 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | KRIS VEITCH (IT STRATEGIST) |
| Authorized Official Telephone | 4055234091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
55-2200 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2175981 | 01 |
| Other Name | Type Code |
|---|---|
| Sulphur Veterans Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225352057 | State of Oklahoma | Community/Behavioral Health | 400 North Oak, Taft, OK 74463 | 2010-03-23 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| 1154589430 | State of Oklahoma | Skilled Nursing Facility | 10014 Se 1138th Street, Talihina, OK 74571-6028 | 2008-05-23 |
| 1225295710 | State of Oklahoma | Skilled Nursing Facility | 1701 South 4th, Clinton, OK 73601-1209 | 2008-05-21 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1720152788 | State of Oklahoma | Community/Behavioral Health | 702 N. Grand, Northwest Center for Behavioral Health, Enid, OK 73701 | 2006-11-20 |
| 1750456588 | State of Oklahoma | Community/Behavioral Health | 1222 10th Street, Suite 211, Northwest Center for Behavioral Health, Woodward, OK 73801-3156 | 2006-11-20 |
| 1700950201 | State of Oklahoma | Substance Abuse Rehabilitation Facility | 5050 Williams Avenue, Northwest Center for Behavioral Health, Woodward, OK 73801 | 2006-11-17 |
| 1922171701 | State of Oklahoma | Psychiatric Hospital | 1 Mile East U.S. Highway 270, Fort Supply, OK 73841-0001 | 2006-11-17 |
| 1437222734 | State of Oklahoma | Community/Behavioral Health | 604 Choctaw, Northwest Center for Behavioral Health, Alva, OK 73717 | 2006-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF OKLAHOMA EAST CENTRAL UNIVERSITY | 1100 E 14th St, Ada, OK 74820-6999 |
| Street Address |
304 FAIRLANE AVE |
| City | SULPHUR |
| State | OK |
| Zip Code | 73086-6861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257372 | Clarizza Carroll | Clinical Nurse Specialist | 304 Fairlane Ave, Sulphur, OK 73086-6861 | 2019-10-20 |
| 1891202552 | John Carroll Casady Jr. | Nurse Practitioner | 304 Fairlane Ave, Sulphur, OK 73086-6861 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124680079 | Arbuckle Chiropractic LLC | Chiropractor | 1500 W. 1st St, Sulphur, OK 73086 | 2019-07-01 |
| 1205959046 | Teresa Truelock | Contractor | 606 Circle Top Dr., Sulphur, OK 73086 | 2007-04-09 |
| 1215021894 | Diane Michele Rowe | Pharmacist | 815 W. Broadway, Sulphur, OK 73086 | 2006-10-03 |
| 1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
| 1154428696 | David R Pittman | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-09-19 |
| 1730541673 | Arbuckle Memorial Hospital | Clinic/Center | 2011 W Broadway Ave, Sulphur, OK 73086 | 2016-03-21 |
| 1073957049 | Brandon S Drabek | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086 | 2013-04-22 |
| 1699858134 | Sooner Pharmacy | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-10-20 |
| 1811058589 | Evan Lee Bragg | Optometrist | 1010 West 3rd St, Sulphur, OK 73086-0499 | 2006-12-13 |
| 1265719850 | Wendie Renea Butts | Counselor | 3183 W 14th St, Sulphur, OK 73086-1117 | 2011-11-09 |
| Find all providers in zip 73086 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982147468 | Hobbs Pharmacy Inc | Pharmacy | 420 W Broadway Ave, Sulphur, OK 73086-4622 | 2016-12-01 |
| 1285645184 | Larry's Pharmacy of Sulphur Inc | Pharmacy | 1012 W 2nd St, Sulphur, OK 73086-4814 | 2006-08-10 |
| 1083249312 | Hobbs Pharmacy Inc | Pharmacy | 420 W Broadway Ave, Sulphur, OK 73086-4622 | 2020-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1396381679 | Apothecary Associates LLC | Pharmacy | 1315 N Washington St Ste 3, Weatherford, OK 73096-2443 | 2019-11-21 |
| 1093271769 | Veritas Properties LLC | Pharmacy | 225 W Main St Ste 1, Wilburton, OK 74578-4045 | 2019-02-18 |
| 1649747841 | Pharmacorr, LLC | Pharmacy | 7400 Plaza Mayor Blvd, Ste 100, Oklahoma City, OK 73149 | 2018-10-26 |
| 1467996223 | R&s Drug Store 2 LLC | Pharmacy | 821 W Main St # 201, Duncan, OK 73533-4615 | 2016-12-13 |
| 1194185504 | Guardian Pharmacy of Tulsa, LLC | Pharmacy | 5415 S 125th East Ave, Suite 201-203, Tulsa, OK 74146-6232 | 2016-02-26 |
| 1558749192 | Texoma Medical Services Inc | Pharmacy | 417 Sw 7th St Ste 2, Mooreland, OK 73852-7603 | 2015-05-15 |
| 1174921316 | Cdl Central Drug, Inc. | Pharmacy | 1220 W 12th Ave, Stillwater, OK 74074-4668 | 2014-12-19 |
| Find all providers with the same taxonomy | ||||
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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.