MAXOR NATIONAL PHARMACY SERVICES LLC (NPI# 1164721577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164721577 |
| Entity Type | Organization |
| Organization Name | MAXOR NATIONAL PHARMACY SERVICES LLC |
| Other Organization Name | MAXOR PHARMACIES |
| Practice Address |
901 Sw Goodyear Blvd Lawton OK 73505-9755 |
| Mailing Address |
320 S Polk St Ste 800 Amarillo TX 79101-1429 |
| Practice Telephone | 5805315858 |
| Practice Fax Number | 5805316018 |
| Mailing Telephone | 8062427782 |
| Mailing Fax Number | 8063245495 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | ROSS HALSNE (VICE PRESIDENT-PHARMACY CONTRACTING) |
| Authorized Official Telephone | 8062427782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3-6604 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2129614 | 01 |
| Other Name | Type Code |
|---|---|
| Maxor Pharmacies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689131625 | Maxor National Pharmacy Services LLC | Pharmacy | 2882 Holly Rd Ste 100, Corpus Christi, TX 78415-4106 | 2019-02-26 |
| 1285142885 | Maxor National Pharmacy Services LLC | Pharmacy | 416 S Tyler St, Amarillo, TX 79101-2346 | 2018-01-17 |
| 1831589761 | Maxor National Pharmacy Services LLC | Pharmacy | 19 Mitchell Fld, Garden City, NY 11530-6720 | 2015-01-30 |
| 1154623205 | Maxor National Pharmacy Services LLC | Pharmacy | 550 6th St, Oakland, CA 94607-3946 | 2010-11-23 |
| 1881794121 | Maxor National Pharmacy Services LLC | Pharmacy | 19 West Rd, Garden City, NY 11530-6720 | 2006-09-25 |
| 1972603215 | Maxor National Pharmacy Services LLC | Pharmacy | 206 Drum Rd, Staten Island, NY 10305-5079 | 2006-09-25 |
| 1053411397 | Maxor National Pharmacy Services LLC | Pharmacy | 504 23rd St, Canyon, TX 79015-4044 | 2006-09-25 |
| 1871693119 | Maxor National Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 216 S Polk St, Amarillo, TX 79101-1407 | 2006-09-25 |
| 1962502203 | Maxor National Pharmacy Services LLC | Pharmacy | 102 Sw 3rd Ave, Amarillo, TX 79101-1443 | 2006-09-25 |
| 1699875930 | Maxor National Pharmacy Services LLC | Pharmacy | 1046b Hercules Ave, Houston, TX 77058-2722 | 2006-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Maxor National Pharmacy Services LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Street Address |
901 SW GOODYEAR BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528079985 | Kurt R. Scroggins | Internal Medicine | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2006-08-11 |
| 1649627688 | Payton Thomas Flournoy | Family Medicine | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2016-05-19 |
| 1952790750 | Marlene Michelle Edior-garcia | Registered Nurse | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2015-01-15 |
| 1982025250 | Comanche County Healthcare Corporation | Family Medicine | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2014-01-03 |
| 1962791780 | Concentra Health Care, P.a. | Clinic/Center | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2011-04-01 |
| 1922139161 | Mallory B Davis | Pharmacist | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2007-03-08 |
| 1811023120 | Deborah Jean Southern | Pharmacist | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2007-02-23 |
| 1356416960 | Walter Ray Dunlap | Optometrist | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2006-11-21 |
| 1598830200 | Leonard Sims Mcneil | Physician Assistant | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2006-11-21 |
| 1952476566 | Larry Kenneth Silkey | Optometrist | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1023452851 | Oklahoma Cvs Pharmacy LLC | Pharmacy | 2030 Nw 82nd St, Lawton, OK 73505-2355 | 2013-04-23 |
| 1053649327 | 1st Pharmacy Corporation | Pharmacy | 2702 W Gore Blvd, Lawton, OK 73505-6319 | 2009-11-25 |
| 1790792679 | Walgreen Co | Pharmacy | 6701 Nw Cache Rd, Lawton, OK 73505-2701 | 2006-08-02 |
| 1942782040 | Comanche County Hospital Authority | Pharmacy | 5404 Sw Lee Blvd, Lawton, OK 73505-9521 | 2018-09-05 |
| 1548487770 | Buy for Less Discount Pharmacy | Pharmacy | 205 Sw Sheridan Rd, Lawton, OK 73505-1518 | 2007-04-19 |
| 1720124936 | Richmark Inc | Pharmacy | 1810 W Gore Blvd, Lawton, OK 73501-3615 | 2007-01-29 |
| 1427130947 | Comanche County Hospital Authority | Pharmacy | 3201 W Gore Blvd, Lawton, OK 73505-6378 | 2006-10-20 |
| 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 |
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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.