CATOOSA PHARMACY, LLC (NPI# 1134787435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134787435 |
| Entity Type | Organization |
| Organization Name | CATOOSA PHARMACY, LLC |
| Other Organization Name | CATOOSA FAMILY PHARMACY |
| Practice Address |
1818 N Highway 66 Ste A Catoosa OK 74015-3052 |
| Mailing Address |
13405 E 91st St N Owasso OK 74055-2657 |
| Practice Telephone | 9187394774 |
| Practice Fax Number | 9187394778 |
| Mailing Telephone | 9182319034 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | DAVID KENT JOHNSON (MANAGING MEMBER) |
| Authorized Official Telephone | 9182319034 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Catoosa Family Pharmacy | Doing Business As Name - Organization |
| Street Address |
1818 N HIGHWAY 66 STE A |
| City | CATOOSA |
| State | OK |
| Zip Code | 74015-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235455791 | Catoosa Family Pharmacy LLC | Pharmacy | 1818 N Highway 66 Ste A, Catoosa, OK 74015-3052 | 2010-04-08 |
| 1497225577 | Adam Lesher | Pharmacist | 1818 N Highway 66 Ste A, Catoosa, OK 74015-3052 | 2018-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396584 | Betsy Hart | Technician | 312 Chief Stan Waite Drive, Catoosa, OK 74015 | 2019-10-01 |
| 1700314986 | Laura Vo | Dentist | 1875 N Old Hwy 66 Suite A, Catoosa, OK 74015 | 2017-05-31 |
| 1275909772 | Caitlin Bruder | Speech-Language Pathologist | 523 Chief Stan Waite, Catoosa, OK 74015 | 2015-08-19 |
| 1821485491 | Mednow Urgent Care Center LLC | Clinic/Center | 2036 S Miller Lane, Suite F, Catoosa, OK 74015 | 2015-04-22 |
| 1932458312 | Green Country Dental Arts of Catoosa | Dentist | 1755 N. Highway 66, Suite C, Catoosa, OK 74015 | 2012-08-31 |
| 1588936439 | Sandra Barnes Williams | Social Worker | 750 N Cherokee Street, Suite N, Catoosa, OK 74015 | 2012-02-07 |
| 1437274529 | Hac Inc | Pharmacy | 19302 East Admiral Blvd, Catoosa, OK 74015 | 2007-03-20 |
| 1316077829 | Nancy Ann Childress-murphy | Psychiatry & Neurology | 1755 State Hwy 66, Suite F, Catoosa, OK 74015 | 2007-03-06 |
| 1528140092 | Geoffrey Michael Sims | Dentist | 1875 North Highway 66, Unit A, Catoosa, OK 74015 | 2006-10-20 |
| 1992886063 | Catoosa Health Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 801 N. 193rd E. Ave., Catoosa, OK 74015 | 2006-10-17 |
| Find all providers in zip 74015 | ||||
| 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 |
|---|---|---|---|---|
| 1649604356 | Pharmcareok of Tulsa, Inc. | Pharmacy | 750 S Cherokee St Ste B, Catoosa, OK 74015-2538 | 2013-08-29 |
| 1437274529 | Hac Inc | Pharmacy | 19302 East Admiral Blvd, Catoosa, OK 74015 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
| 1245843796 | Creek Nation Hospital & Clinics | Pharmacy | 1000 Riverwalk Ter, Jenks, OK 74037-5666 | 2020-08-25 |
| 1104451095 | Oklahoma Specialty Pharmacy,llc | Pharmacy | 13921 N Meridian Ave Ste 102, Oklahoma City, OK 73134-1103 | 2020-03-11 |
| 1437797248 | Oxford Pharmacy LLC | Pharmacy | 6001 S Sooner Rd Ste B, Oklahoma City, OK 73135-5601 | 2019-12-12 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| 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.