KINGFISHER PHARMACY MANAGEMENT PLLC (NPI# 1174827273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174827273 |
| Entity Type | Organization |
| Organization Name | KINGFISHER PHARMACY MANAGEMENT PLLC |
| Other Organization Name | MEDIC PHARMACY AND GIFTS |
| Practice Address |
119 W Admire Ave Kingfisher OK 73750-2609 |
| Practice Telephone | 4053753202 |
| Practice Fax Number | 4053756739 |
| Mailing Telephone | 4053753202 |
| Mailing Fax Number | 4053756739 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2015-01-20 |
| Authorized Official Name | GREGORY HUENERGARDT (MEMBER MANAGER) |
| Authorized Official Telephone | 5809382854 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
54-5617 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200323020A | 05 | |
| PK | 2128250 | 01 |
| Other Name | Type Code |
|---|---|
| Medic Pharmacy and Gifts | Doing Business As Name - Organization |
| Street Address |
119 W ADMIRE AVE |
| City | KINGFISHER |
| State | OK |
| Zip Code | 73750-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659464097 | Toms Drug Store | Durable Medical Equipment & Medical Supplies | 119 W Admire Ave, Kingfisher, OK 73750-2627 | 2006-09-30 |
| 1952867467 | Trevor Patrick Wilczek | Pharmacist | 119 W Admire Ave, Kingfisher, OK 73750-2609 | 2019-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992155386 | Jami Grantz | General Acute Care Hospital | 1000 Kingfisher Reg Hosp Dr, Kingfisher, OK 73750 | 2016-06-15 |
| 1083048417 | Mercy Hospital Kingfisher, Inc | General Acute Care Hospital | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2013-08-21 |
| 1245544246 | Amber Lisette Davis | Occupational Therapist | 500 S. 9th Street, Kingfisher, OK 73750 | 2010-08-02 |
| 1881921310 | Diane Marie Minnis | Dietitian, Registered | 1000 Kingfisher Regional Hospital Dr, Kingfisher, OK 73750 | 2009-11-04 |
| 1366694663 | Shea Nicole Krablin | Speech-Language Pathologist | 401 West Bowman, Kingfisher, OK 73750 | 2008-10-17 |
| 1073719209 | Nathan Kelly Brown | Dentist | 2302 S Frontage Rd, Kingfisher, OK 73750 | 2007-06-25 |
| 1992849996 | Kingfisher Dental Pllc | Dentist | 2302 S. Frontage Rd, Kingfisher, OK 73750 | 2007-02-16 |
| 1942385075 | Ltrx Inc. | Pharmacy | 1308 S. Main Street, Kingfisher, OK 73750 | 2006-10-26 |
| 1497841175 | Gary E Palmer | Chiropractor | 723 S. Main Street, Kingfisher, OK 73750 | 2006-10-04 |
| 1356302947 | Bridget A. Keast | Physician Assistant | 1002 Hospital Drive, Kingfisher, OK 73750 | 2006-03-31 |
| Find all providers in zip 73750 | ||||
| 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] |
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|---|---|---|---|---|
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| 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 | ||||
| City | KINGFISHER |
| Zip Code | 73750 |
Please comment or provide details below to improve the information on KINGFISHER PHARMACY MANAGEMENT PLLC.
| 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.