BETHEL PHARMACY LLC (NPI# 1124427745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124427745 |
| Entity Type | Organization |
| Organization Name | BETHEL PHARMACY LLC |
| Practice Address |
205 E Pine St Ste 7 Tulsa OK 74106-4859 |
| Practice Telephone | 9185059650 |
| Practice Fax Number | 9185187182 |
| Mailing Telephone | 9185059650 |
| Mailing Fax Number | 9185187182 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | AARON KANWHEN (PHARMACY MANAGER) |
| Authorized Official Telephone | 9185059650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2-6814 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200570490A | 05 | |
| PK | 2147863 | 01 |
| Street Address |
205 E PINE ST STE 7 |
| City | TULSA |
| State | OK |
| Zip Code | 74106-4859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
| 1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
| 1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
| 1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
| 1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
| 1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
| 1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
| Find all providers in zip 74106 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1952888356 | Genscripts LLC | Pharmacy | 10827 S Memorial Dr Ste D, Tulsa, OK 74133-7361 | 2018-07-27 |
| 1063824589 | Rx Holdings LLC | Pharmacy | 11414 E 51st St Ste A, Tulsa, OK 74146-5800 | 2014-06-02 |
| 1508102609 | Insync Life Care LLC | Pharmacy | 6310 East 102nd Street, Tulsa, OK 74137-7061 | 2012-12-17 |
| 1235315250 | Oklahoma Cvs Pharmacy LLC | Pharmacy | 7437 S Olympia Ave W, Tulsa, OK 74132-1838 | 2008-01-22 |
| 1366526022 | Walgreen Co | Pharmacy | 5046 S Sheridan Rd, Tulsa, OK 74145-5714 | 2006-10-25 |
| 1225121338 | Moore Pharmacy Service; LLC | Pharmacy | 11414 E. 51st Street, Unit A, Tulsa, OK 74146-5821 | 2006-10-02 |
| 1134233117 | Genscripts LLC | Pharmacy | 3980 S Hudson Ave, Tulsa, OK 74135-5608 | 2006-08-18 |
| 1699786723 | Cfp Acquisitions, Inc. | Pharmacy | 6136 E 51st St, Tulsa, OK 74135-7704 | 2006-08-11 |
| 1033126925 | Walgreen Co | Pharmacy | 10018 S Yale Ave, Tulsa, OK 74137-6016 | 2006-08-02 |
| 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.